Kathleen M Wimberly

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0009329 Issued in GA

Practice address

4116 Arkwright Rd
Suite 2
Macon, GA 31210-1707

Phone

(478) 987-1610

Fax

(973) 965-4580

NPI assigned

Dec 8, 2009

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1891024600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 NORTHSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310693344",
            "telephone_number": "478-987-1610",
            "fax_number": "973-965-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 ARKWRIGHT RD",
            "address_2": "SUITE 2",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101707",
            "telephone_number": "478-987-1610",
            "fax_number": "973-965-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBERLY",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT0009329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406759257A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Eugene Wilson Jr., M.D.
• Nijhae Wilson
• Rachel Wilson
• Robert C Wilson, MD
• Yakitia Wilson
• Kimberely J Windham-Cope, MD
• Marcus E. Windhom Sr.
• Amanda Windon, ATC/LAT
• Jennifer Kirby Wineteer, PT
• Sheryl Hall Winn, NP

• Physical Therapist in Macon, GA
• Providers in Macon, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.