Kimberley Jo Vorholt, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

587 Issued in WV

Practice address

179 Station Place Drive
Hurricane, WV 25526-8749

Phone

(304) 760-6300

Fax

(304) 201-5123

NPI assigned

Apr 28, 2008

Last updated

Jan 7, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberley Jo Wilson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Milestones Physical Therapy, Inc.

  dba Milestones

  • Physical Therapist
  • Hurricane, WV
  • NPI 1003950163
  NPD (past)

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1780859090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255600450",
            "telephone_number": "304-760-6300",
            "fax_number": "304-201-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 STATION PLACE DRIVE",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255268749",
            "telephone_number": "304-760-6300",
            "fax_number": "304-201-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORHOLT",
        "first_name": "KIMBERLEY",
        "middle_name": "JO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEY",
            "last_name": "WILSON",
            "middle_name": "JO",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darrin Andrew Vanscoy, DC
• Mary Lee Vaughn, FNP-BC
• Dulce Melissa Ventura
• Visavis Health Care Medical Group of WV PLLC
• Carrie Vlasic
• Taylor Wade
• Lindsey Shae Wagoner, DPT, ATC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-4277)
• Wal-Mart Stores East, LP (Vision Center 30-4277)
• Walgreen Co (Rite Aid #17281)

• Physical Therapist in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.