Kimberly L. O'Leary, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1337 Issued in NH

Practice address

2 Pillsbury Street
Concord, NH 03301

Phone

(603) 524-3397

Fax

(903) 524-9364

NPI assigned

Aug 13, 2006

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 5

Other names 1

• Kimberly L. Fotter Former name

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Greater Brunswick Physical Therapy P.a.

  • Physical Therapist
  • Topsham, ME
  • NPI 1568567659
  Medicare reassignment
• Deborah Miller

  • Occupational Therapist
  • Nashua, NH
  • NPI 1356618441

  Physical Therapist

  NPD (past)
• Kimberly Fotter, PT

  • Physical Therapist
  • Francestown, NH
  • NPI 1699932277
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1972516052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CORPORATE DRIVE",
            "city": "BELMONT",
            "state": "NH",
            "postal_code": "03220",
            "telephone_number": "603-524-3397",
            "fax_number": "603-524-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PILLSBURY STREET",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-524-3397",
            "fax_number": "903-524-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "KIMBERLY",
        "middle_name": "L.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "1337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081063",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "08Y005035NH02",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7556712",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30393167",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3434134",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "FOTTER",
            "middle_name": "L.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia O'Connor, APRN
• Jacob O'Dougherty
• Kate L O'Dougherty, APRN
• Clare Elizabeth O'Grady, DO
• Ashley O'Keefe, BA
• Sandra O'Loughlin, PA-C
• Lawrence O'Malley, PAC
• Denise O'Neil, RN
• Diana L O'Neil
• Kelly O'Neil

• Physical Therapist in Concord, NH
• Providers in Concord, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.