Kimberly Wright

Primary specialty

SpecialistTaxonomy code 174400000X

License

31001652A Issued in IN

Practice address

1031 Old Orchard Dr
Gibsonia, PA 15044-6079

Phone

(724) 687-0904

NPI assigned

Oct 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1730464587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 OLD ORCHARD DR",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150446079",
            "telephone_number": "724-687-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 OLD ORCHARD DR",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150446079",
            "telephone_number": "724-687-0904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Canterbury Trl",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473746685",
            "country_code": "US",
            "telephone_number": "765-488-0543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC008558",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "31001652A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Wist, PTA
• Lorene C. Won-Winner
• Stephanie Wong, DDS
• Tania Wood, OTR
• Kathy Workman, PT
• Lydia Ann Wudarczyk, PHARMD
• Jamie Dale Wyels, R.PH.
• Jacqueline D Yancey, DO
• Mary Beth Yates, LCSW
• Your Life in Balance, LLC

• Specialist in Gibsonia, PA
• Providers in Gibsonia, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.