MS. KIMBERLY JO DEVAULT (NPI# 1083659437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083659437 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY JO DEVAULT |
| Credential | P.T. |
| Practice Address |
4901 Cottage Grove Rd Madison WI 53716-1392 |
| Practice Telephone | 6082211501 |
| Practice Fax Number | 6082233540 |
| Mailing Telephone | 6082211501 |
| Mailing Fax Number | 6082233540 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
3874-024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4901 COTTAGE GROVE RD |
| City | MADISON |
| State | WI |
| Zip Code | 53716-1392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538138904 | Sarah E Lowery | Family Medicine | 4901 Cottage Grove Rd, Madison, WI 53716-1392 | 2006-03-16 |
| 1801288287 | Sean Preisler | Student in an Organized Health Care Education/Training Program | 4901 Cottage Grove Rd, Madison, WI 53716-1392 | 2015-02-23 |
| 1952651515 | Angie Mcconkey | Physical Therapy Assistant | 4901 Cottage Grove Rd, Madison, WI 53716-1392 | 2012-09-11 |
| 1619243474 | Anthony James Sturm | Family Medicine | 4901 Cottage Grove Rd, Madison, WI 53719-1392 | 2012-03-27 |
| 1447543020 | Andrew B Schmitt | Family Medicine | 4901 Cottage Grove Rd, Madison, WI 53716-1392 | 2011-05-16 |
| 1750686648 | Alexandra Ilkevitch | Physical Medicine & Rehabilitation | 4901 Cottage Grove Rd, Madison, WI 53716-1392 | 2011-01-24 |
| 1639482953 | Anne B Reichhoff | Physical Therapist | 4901 Cottage Grove Rd, Madison, WI 53716-1392 | 2010-07-15 |
| 1912219122 | Stefanie L Haima | Physical Therapist | 4901 Cottage Grove Rd, Madison, WI 53716-1392 | 2010-07-06 |
| 1417122250 | Anne Marie Courter | Physical Therapist | 4901 Cottage Grove Rd, Madison, WI 53716-1392 | 2008-04-23 |
| 1194946988 | Christina D Hook | Family Medicine | 4901 Cottage Grove Rd, Madison, WI 53716-1392 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738873 | Richard Onyait | Technician | 1103 Birch Haven Cir, Monona, WI 53716 | 2019-09-11 |
| 1962950428 | Paige Corliss | Pharmacist | 1821 S. Stoughton Road, Madison, WI 53716 | 2016-09-13 |
| 1760840946 | Stacey Palermo | Marriage & Family Therapist | 303 Frost Woods Rd, Monona, WI 53716 | 2016-02-03 |
| 1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
| 1942692520 | Kelsey Lynn Markham | Counselor | 5900 Monona Drive, Suite 100, Monona, WI 53716 | 2015-02-19 |
| 1225452733 | Nicole Moscinski | Marriage & Family Therapist | 6117 Monona Dr Ste 1b, Monona, WI 53716 | 2014-02-05 |
| 1013345644 | Emma Amanda Rose | Physician Assistant | 521 Bowman Ave., Madison, WI 53716 | 2013-10-16 |
| 1407154271 | Jennifer Orshak | Registered Nurse | 5410 Forge Drive, Madison, WI 53716 | 2011-03-03 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 1609041987 | Jennifer A Britain | Physical Therapist | 1821 South Stoughton Rd, Madison, WI 53716 | 2008-04-28 |
| Find all providers in zip 53716 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730641887 | Jessica Solfest | Physical Therapist | 301 S Westfield Rd, Madison, WI 53717-1730 | 2019-04-05 |
| 1205022878 | Dierdre Ann Browne | Physical Therapist | 43 Dean St, Madison, NJ 07940-2250 | 2007-09-18 |
| 1831301613 | Adam Troy Lindsey | Physical Therapist | 2450 Rimrock Rd, Ste 204, Madison, WI 53713-2799 | 2007-05-04 |
| 1912065707 | Teresa E Amonett | Physical Therapist | 5752 Tokay Blvd, Madison, WI 53719-1237 | 2006-12-05 |
| 1215005301 | Lori A Mcreynolds | Physical Therapist | 1765 Thierer Rd, Madison, WI 53704-3721 | 2006-11-30 |
| 1164498382 | Kristi H Roland | Physical Therapist | 2021 Gallatin Pike N, Suite 248, Madison, TN 37115-2097 | 2006-02-27 |
| 1205816535 | Matthew K Riordan | Physical Therapist | 111 Kings Rd., Madison, NJ 07940-2122 | 2006-01-20 |
| 1245894922 | Matthew Marvin Pechacek | Physical Therapist | 202 S Park St, Madison, WI 53715-1507 | 2019-04-28 |
| 1083141220 | Cassie Lynn Raduka | Physical Therapist | 621 Science Dr, Madison, WI 53711-1074 | 2017-05-18 |
| 1609224989 | Autumn Bonner | Physical Therapist | 305 S Livingston St, Madison, WI 53703-3513 | 2016-05-27 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.