Kimberly Wiesen, M.H.S., P. T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

499 Issued in NV

Practice address

2625 E Saint Louis Ave
Las Vegas, NV 89104-4200

Phone

(702) 799-7463

NPI assigned

Jan 8, 2007

Last updated

Dec 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1841348224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 PALMALES CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 E SAINT LOUIS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891044200",
            "telephone_number": "702-799-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESEN",
        "first_name": "KIMBERLY",
        "credential": "M.H.S., P. T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508889",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseth Wierman
• Marissa Jo Wierzbicki
• Kristine Diane Wiese
• Amber Wieseckel
• Megan Mary Wiesel, PA-C
• Brett A Wiesner, DC DACNB
• Sebastian Wigg
• Annie Wiggins
• Anthony Wiggins
• Christien Wiggins

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

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