MRS. KIMBERLY BLACK (NPI# 1558522342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558522342 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY BLACK |
| Credential | PT |
| Practice Address |
212 W 3rd St Sw Rome GA 30165-2802 |
| Mailing Address |
365 S Industrial Blvd Calhoun GA 30701-3075 |
| Practice Telephone | 7062954242 |
| Practice Fax Number | 7062954260 |
| Mailing Telephone | 7066243000 |
| Mailing Fax Number | 7066243001 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2017-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT003333 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063997237 | Kimberly Rochelle Black | Counselor | 31 E Main Ave, Taylorsville, NC 28681-2540 | 2018-10-03 |
| 1962769919 | Kimberly Black | Speech-Language Pathologist | 32 Monmouth Pkwy, Monmouth Beach, NJ 07750-1129 | 2012-04-16 |
| 1619484839 | Kimberly Black | Behavior Technician | 3110 Camino Del Rio S Ste 307, San Diego, CA 92108-3832 | 2018-01-09 |
| 1174042634 | Kimberly Sue Black | Registered Nurse | 7150 Clearvista Dr, Indianapolis, IN 46256-1695 | 2017-09-15 |
| 1255878989 | Kimberly Lucille Black | Nurse Practitioner | 411 3rd St, Monett, MO 65708-2008 | 2017-01-19 |
| 1326415043 | Kimberly Black | Occupational Therapy Assistant | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2015-08-28 |
| 1821476235 | Kimberly Black | Marriage & Family Therapist | 913 Willow St Ste 103, San Jose, CA 95125-2380 | 2015-05-18 |
| 1043613318 | Kimberly Black | Hearing Instrument Specialist | 798 Downtowner Blvd, Ste A, Mobile, AL 36609-5424 | 2014-10-01 |
| 1518199728 | Kimberly G Black | Surgery | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2009-08-20 |
| Street Address |
212 W 3RD ST SW |
| City | ROME |
| State | GA |
| Zip Code | 30165-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670879 | Sheri Medley | Speech-Language Pathologist | 212 W 3rd St Sw, Rome, GA 30165-2802 | 2005-06-22 |
| 1134732597 | Stevanie Pruitt-bell | Speech-Language Pathologist | 212 W 3rd St Sw, Rome, GA 30165-2802 | 2020-08-26 |
| 1114535655 | Matt Herrin | Occupational Therapist | 212 W 3rd St Sw, Rome, GA 30165-2802 | 2020-07-21 |
| 1417593435 | Mary Reabe | Speech-Language Pathologist | 212 W 3rd St Sw, Rome, GA 30165-2802 | 2019-11-25 |
| 1023664455 | Lauren Beaird | Speech-Language Pathologist | 212 W 3rd St Sw, Rome, GA 30165-2802 | 2019-08-12 |
| 1053832493 | Stepanie Bays | Occupational Therapist | 212 W 3rd St Sw, Rome, GA 30165-2802 | 2017-07-06 |
| 1538616255 | Ozge Ece Tufan | Physical Therapist | 212 W 3rd St Sw, Rome, GA 30165-2802 | 2016-09-10 |
| 1306294814 | Connie Brewer | Speech-Language Pathologist | 212 W 3rd St Sw, Rome, GA 30165-2802 | 2016-05-25 |
| 1881002749 | Rebecca Jordan Montero | Speech-Language Pathologist | 212 W 3rd St Sw, Rome, GA 30165-2802 | 2014-07-23 |
| 1891965323 | Stacey E Johlman | Speech-Language Pathologist | 212 W 3rd St Sw, Rome, GA 30165-2802 | 2008-03-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1588212682 | Jenna Marie Narolis | Physical Therapist | 6896 Stanwix Ave, Rome, NY 13440-7125 | 2019-09-01 |
| 1649831793 | Megan Hayles | Physical Therapist | 2316 Eastland Ct Se, Rome, GA 30161-8831 | 2019-06-27 |
| 1265803142 | Carly Renee Penhollow | Physical Therapist | 1711 Martha Berry Blvd Nw, Rome, GA 30165-1623 | 2015-10-17 |
| 1467821603 | Women's Rehabilitation, LLC | Physical Therapist | 108 Robin St Nw, Rome, GA 30165-1544 | 2015-09-17 |
| 1952718454 | Trevor G Lewis | Physical Therapist | 7689 Old Floyd Rd, Rome, NY 13440-0427 | 2014-07-16 |
| 1467862292 | David Andrew Tedesco | Physical Therapist | 100 Green View Rd Sw, Rome, GA 30165-4306 | 2014-05-01 |
| 1518213065 | Kayla M Perry | Physical Therapist | 221 S. James St, Bouton Physical Therapy, Rome, NY 13440 | 2012-08-01 |
| 1679867063 | Teri Ann Tallarino | Physical Therapist | 407 Beech St, Rome, NY 13440-2209 | 2011-06-03 |
| 1871894139 | Bettina Sabia Dimaggio | Physical Therapist | 7788 Bel Air Dr, Rome, NY 13440-2230 | 2010-11-03 |
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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.