Active NPI
Kimberly E. Mey, MSPT
- Physical Therapist
- Redmond, WA
National Provider Identifier
1861528424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00010305
- Practice address
- 16250 NE 74TH St
Redmond, WA 98052-7817 - Phone
- (425) 936-1200
- NPI assigned
- Feb 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00010305 | WA | Primary |
Addresses
Primary practice location
16250 NE 74TH St
Redmond, WA 98052-7817
Mailing address
16250 NE 74TH St
Redmond, WA 98052-7817
Phone (425) 936-1200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0078VI | Other | WA | REGENCE |
| 1861528424 | Other | WA | DSHS |
| 40509U | Other | WA | REGENCE BLUESHIELD |
Other names 1
- Kimberly E. Vinc
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1861528424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16250 NE 74TH ST",
"city": "REDMOND",
"state": "WA",
"postal_code": "980527817",
"telephone_number": "425-936-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16250 NE 74TH ST",
"city": "REDMOND",
"state": "WA",
"postal_code": "980527817",
"telephone_number": "425-936-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEY",
"first_name": "KIMBERLY",
"middle_name": "E.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "0078VI",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS",
"identifier": "1861528424",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "40509U",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "VINC",
"middle_name": "E.",
"credential": "MSPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.