Individual provider Active NPI

Kimberly Anne Tobat, MSPT

  • Specialist
  • New Castle, DE
National Provider Identifier
1700907706
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J1-0001719 Issued in DE
Practice address
61 Corporate Cir
New Castle, DE 19720-0001
Phone
(302) 324-4444
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J1-0001719 DE Primary

Addresses

Primary practice location

61 Corporate Cir
New Castle, DE 19720-0001

Mailing address

61 Corporate Circle
New Castle, DE 19720-0001
Phone (302) 324-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240910002112 DE Practitioner - Physical Therapist in Private Practice 5193265775 Reassigns benefits to 1 organization
I20240910002365 MD Practitioner - Physical Therapist in Private Practice 5193265775 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20309MDMDSocial Worker
J1-0001719DEMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Delaware & Marylands Eastern Shore, Inc CurrentSince Jun 30, 2024 Accepting new patients

Locations

22317 DuPont Blvd
Georgetown, DE 19947
Phone (302) 253-1100

61 Corporate Cir
New Castle, DE 19720
Phone (302) 221-2076

1336 Belmont Ave
Ste 502B
Salisbury, MD 21804
Phone (410) 546-2894

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1700907706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 CORPORATE CIRCLE",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197200001",
            "telephone_number": "302-324-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CORPORATE CIR",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197200001",
            "telephone_number": "302-324-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBAT",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "J1-0001719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.