Active NPI
Kimberly Tjoelker, PT, DPT, OCS
- Orthopedic Physical Therapist
- Nanuet, NY
National Provider Identifier
1851818140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 042003-1
- Practice address
- 201 Bardonia Rd
Nanuet, NY 10954-2106 - Phone
- (845) 536-8076
- Fax
- (866) 498-1198
- NPI assigned
- Aug 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 042003-1 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | 042003-1 | NY | Primary |
Addresses
Primary practice location
201 Bardonia Rd
Nanuet, NY 10954-2106
Mailing address
201 Bardonia Rd
Nanuet, NY 10954-2106
Phone (845) 536-8076
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042003-1 | NY | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cynergy Chelsea, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1851818140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 BARDONIA RD",
"city": "NANUET",
"state": "NY",
"postal_code": "109542106",
"telephone_number": "845-536-8076",
"fax_number": "866-498-1198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 BARDONIA RD",
"city": "NANUET",
"state": "NY",
"postal_code": "109542106",
"telephone_number": "845-536-8076",
"fax_number": "866-498-1198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TJOELKER",
"first_name": "KIMBERLY",
"credential": "PT, DPT, OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-28",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042003-1",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "042003-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nanuet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.