KIMBERLEE J ODONALD PT PC (NPI# 1689731374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689731374 |
| Entity Type | Organization |
| Organization Name | KIMBERLEE J ODONALD PT PC |
| Practice Address |
1330 W Washington Greenville MI 48838-2190 |
| Practice Telephone | 6167547040 |
| Practice Fax Number | 6167547888 |
| Mailing Telephone | 6167547040 |
| Mailing Fax Number | 6167547888 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KIMBERLEE J ODONALD (PRESIDENT) |
| Authorized Official Telephone | 6167547040 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 30435 | 01 |
| MI | 2679020 | 05 |
| Street Address |
1330 W WASHINGTON |
| City | GREENVILLE |
| State | MI |
| Zip Code | 48838-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306021472 | Kimberlee J Odonald | Physical Therapist | 1330 W Washington, Greenville, MI 48838 | 2008-01-08 |
| 1194904185 | Cheryl Rager Woodward | Physical Therapist | 1330 W Washington, Greenville, MI 48838 | 2007-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861988743 | Rachel Hoover | Specialist/Technologist | 7481 S Grow Rd, Greenville, MI 48838 | 2018-07-03 |
| 1043719008 | Courtney Garlanger | Physical Therapist | 2425 W Washington St Suite B, Greenville, MI 48838 | 2018-02-06 |
| 1487164026 | Clay Street Center | Clinic/Center | 913 S. Clay St., Greenville, MI 48838 | 2017-10-10 |
| 1922548296 | Maureen Myers | Occupational Therapist | 10131 Connelly Road, Greenville, MI 48838 | 2017-03-06 |
| 1003204371 | Todd Gerrit Cates | Physical Therapist | 1330 W. Washington, Greenville, MI 48838 | 2015-01-08 |
| 1285985358 | Kimberly Belle Lavender | Social Worker | 309 1/2 S Lafayette St Ste 202, Greenville, MI 48838 | 2012-09-28 |
| 1255619912 | Lindsay Joan Weinfurtner | Specialist | 6010 Sipperley Trl, Greenville, MI 48838 | 2011-07-29 |
| 1699075382 | Jenny Kay Moulds | Pharmacist | 205 South Greenville Dr. W, Greenville, MI 48838 | 2010-10-27 |
| 1285934471 | Alexander Edward-tapani Cribley | Pharmacist | 10772 West Carson City Road, Greenville, MI 48838 | 2010-10-22 |
| 1851574990 | Mary Ann Bartman | Physical Therapist | 1330 West Washington, Greenville, MI 48838 | 2007-12-12 |
| Find all providers in zip 48838 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426907 | Firefly Therapy Clinic LLC | Clinic/Center | 2103 Hartness Dr, Greenville, SC 29615-5497 | 2020-10-29 |
| 1568071017 | Pt Dispatch, LLC | Clinic/Center | 81 Pointe Cir Ste D-18, Greenville, SC 29615-3505 | 2020-07-29 |
| 1962045500 | Bright Physical Therapy, LLC | Clinic/Center | 4010 E North St Ste 4, Greenville, SC 29615-6208 | 2019-10-28 |
| 1396231551 | Purposed Physical Therapy, LLC. | Clinic/Center | 11 Barkingham Ln Ste C, Greenville, SC 29607-5905 | 2018-07-10 |
| 1568870491 | Zapf Physical Wellness | Clinic/Center | 48 Faris Cir, Greenville, SC 29605-1010 | 2014-07-23 |
| 1063733442 | Kinetic Phys Therapy and Wellness Inc | Clinic/Center | 1540 E Arlington Blvd, Greenville, NC 27858-5870 | 2010-06-19 |
| 1154514040 | Sands Traveler P.t. | Clinic/Center | 176 Crescent Street, Greenville, CA 95947 | 2007-08-23 |
| 1164512380 | Douglas E Fleming LLC | Clinic/Center | 1020 Margaret Blvd, Greenville, MS 38703 | 2006-10-16 |
| 1902846389 | Arc Therapy Services LLC | Clinic/Center | 12 Boyce Ave, Greenville, SC 29601-3149 | 2006-06-07 |
| 1083661623 | America Rehabilitation Services Inc | Clinic/Center | 700 Cromwell Dr, Ste B, Greenville, NC 27858-5436 | 2006-05-28 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 48838 |
Please comment or provide details below to improve the information on KIMBERLEE J ODONALD PT PC.
| 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.