Active NPI
Kimberly Renee Timmerman, DPT
- Physical Therapist
- Butler, PA
National Provider Identifier
1811318694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT022065
- Practice address
- 325 New Castle Rd
Butler, PA 16001-2418 - Phone
- (724) 282-5610
- NPI assigned
- Dec 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | PT022065 | PA | Primary |
Addresses
Primary practice location
325 New Castle Rd
Butler, PA 16001-2418
Mailing address
218 Carnation LN
Slippery Rock, PA 16057-5202
Phone (570) 204-8306
Other names 1
- Kimberly Renee Coleman
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 |
|---|---|---|---|
| PT022065 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387756800000",
"number": "1811318694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 CARNATION LN",
"city": "SLIPPERY ROCK",
"state": "PA",
"postal_code": "160575202",
"telephone_number": "570-204-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 NEW CASTLE RD",
"city": "BUTLER",
"state": "PA",
"postal_code": "160012418",
"telephone_number": "724-282-5610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMERMAN",
"first_name": "KIMBERLY",
"middle_name": "RENEE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-23",
"last_updated": "2013-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT022065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "COLEMAN",
"middle_name": "RENEE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.