Kimberly Lynn Stetson, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT0000006864 Issued in TN

Practice address

101 S Main St
Clinton, TN 37716-3622

Phone

(865) 789-0341

NPI assigned

Dec 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Anderson County School System

  • Local Education Agency (LEA)
  • Clinton, TN
  • NPI 1366874893
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1831372002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 KINGSMORE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379211452",
            "telephone_number": "865-789-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377163622",
            "telephone_number": "865-789-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETSON",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TN",
            "license": "PT0000006864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Carlene Stanley X, MA. SLP
• Betty Sue Stapleton
• State of Tennessee
• Daniella Salazar Stearns, DNP, APRN, FNP-C
• Julia Catharine Stephenson, PHARM.D
• Steven D. Elliott, O.D. & Associates, Inc.
• Aaron Stewart
• Selicia Madonna Stooksbury, LPN
• Alexandra Jenneane Stroud, MS, RD
• Katie Corrine Styles, CCMA

• Pediatric Physical Therapist in Clinton, TN
• Providers in Clinton, TN by specialty
• Pediatric Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.