Individual provider Active NPI

Kimberly Fahie, D.P.T

  • Physical Therapist
  • Doylestown, PA
National Provider Identifier
1720019813
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015661 Issued in PA
Practice address
99 Lantern Dr
Suite 1
Doylestown, PA 18901-1902
Phone
(267) 880-6787
Fax
(267) 880-6786
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015661 PA Primary

Addresses

Primary practice location

99 Lantern Dr
Suite 1
Doylestown, PA 18901-1902

Mailing address

99 Lantern Dr
Suite 1
Doylestown, PA 18901-1902
Phone (267) 880-6787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070411000241 PA Practitioner - Physical Therapist in Private Practice 6709981293 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JKM Health LLCGroup PAC ID 6901997485, 6 clinicians

Practice addresses (Care Compare)

701 Hyde Park
Doylestown, PA 18902-6612
Phone (215) 345-8141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks County Orthopedic Specialists, PC CurrentSince Jan 1, 2016 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Feb 22, 2021 Accepting new patients
JKM Health LLC CurrentSince Jan 1, 2023 Accepting new patients
Bucks County Orthopedic Specialists, PC CurrentSince Jan 1, 2016 Accepting new patients

Locations

593 W State St
Ste 201
Doylestown, PA 18901
Phone (215) 348-7000

99 Lantern Dr
Ste 1
Doylestown, PA 18901
Phone (267) 880-6787

800 W State St
Ste 201
Doylestown, PA 18901
Phone (215) 348-4478

701 Hyde Park
Doylestown, PA 18902
Phone (215) 345-8141

2826 S Eagle Rd
#121
Newtown, PA 18940

2800 Kelly Rd
Ste 300
Warrington, PA 18976
Phone (215) 348-3068

Organizations & group practices 4

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1720019813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 LANTERN DR",
            "address_2": "SUITE 1",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189011902",
            "telephone_number": "267-880-6787",
            "fax_number": "267-880-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 LANTERN DR",
            "address_2": "SUITE 1",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189011902",
            "telephone_number": "267-880-6787",
            "fax_number": "267-880-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHIE",
        "first_name": "KIMBERLY",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.