Kim Utsinger, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1504 13TH Ave
Moline, IL 61265-3113

Phone

(309) 762-9552

Fax

(309) 762-9610

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Therapy Center of the Quad Cities

  • Speech-Language Pathologist
  • Rock Island, IL
  • NPI 1003991217

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902983729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 13TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653113",
            "telephone_number": "309-762-9552",
            "fax_number": "309-762-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 13TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653113",
            "telephone_number": "309-762-9552",
            "fax_number": "309-762-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTSINGER",
        "first_name": "KIM",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335768795001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Unitypoint Health at Work
• Shashi B Upadhya, MD
• Uptown Chiropractic Center LLC
• Urological Associates, P.C.
• Urological Group LTD
• Rebecca Valladares
• Valley Laboratories LLC
• Valley View Anesthesia LLC
• John Joseph Van Straten
• James R. Vana, D.C.

• Physical Therapist in Moline, IL
• Providers in Moline, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.