Individual provider Active NPI

Kimberly Tjoelker, PT, DPT, OCS

  • Orthopedic Physical Therapist
  • Nanuet, NY
National Provider Identifier
1851818140
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
042003-1 Issued in NY
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

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
042003-1NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cynergy Chelsea, Inc Physical Therapist PastSince Jul 13, 2020 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.

Verify at the official NPI Registry.