Active NPI
Kimberly Street, P.T.
- Physical Therapist
- Riverdale, MD
National Provider Identifier
1730383738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18544
- Practice address
- 4409 E West Hwy
Riverdale, MD 20737-1058 - Phone
- (301) 699-2000
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18544 | MD | Primary |
Addresses
Primary practice location
4409 E West Hwy
Riverdale, MD 20737-1058
Mailing address
3206 Curtis Dr
Apt 206
Temple Hills, MD 20748-1246
Phone (301) 894-2580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18544 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730383738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3206 CURTIS DR",
"address_2": "APT 206",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207481246",
"telephone_number": "301-894-2580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4409 E WEST HWY",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371058",
"telephone_number": "301-699-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREET",
"first_name": "KIMBERLY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverdale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.