Kimberly Marchessault, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016303 Issued in PA

Practice address

290 Krakow Dr
Lehighton, PA 18235-8935

Phone

(484) 629-8770

Fax

(610) 377-0735

NPI assigned

Feb 10, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• In Your Home Physical Therapy LLC

  • Physical Therapist
  • Lehighton, PA
  • NPI 1588959761
  NPD (past)

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

{
    "created_epoch": "1360454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360454400000",
    "number": "1851630909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 KRAKOW DR",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182358935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 KRAKOW DR",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182358935",
            "telephone_number": "484-629-8770",
            "fax_number": "610-377-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHESSAULT",
        "first_name": "KIMBERLY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-10",
        "last_updated": "2013-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahoning Operating LLC
• Mahoning Valley Ambulance Association
• Mahoning Valley Ambulance Association, Inc.
• Mahoning Valley Convalescent Home, Inc.
• Edward Marchessault, PT
• Cheryl L Marinchak, O.D.
• William M Markson, M.D.
• David Marouchoc, LSW
• Marissa Marsh, CRNP
• Sara Vaun Marshall, RDH

• Physical Therapist in Lehighton, PA
• Providers in Lehighton, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.