| Ms Nicole Athena Kimball, MS PT | |
|
1313 W Park Street, Suite # 7, Livingston, MT 59047 | |
| (406) 222-5519 | |
| (406) 222-0366 |
| Full Name | Ms Nicole Athena Kimball |
|---|---|
| Gender | Female |
| Speciality | Physical Therapy |
| Experience | 26 Years |
| Location | 1313 W Park Street, Livingston, Montana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437218856 | NPI | - | NPPES |
| P00122746 | Other | RAILROAD MEDICARE | |
| 60503 | Other | MT | BLUE CROSS BLUE SHIELD |
| 3400826 | Medicaid | MT | |
| MSF1250520 | Other | MT | MT STATE FUND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1877 (Montana) | Primary |
| 225100000X | Physical Therapist | 0193081 (New York) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Excel Orthopedic Physical Therapy Limited Partnership | 7416332549 | 12 |
| Provider Name | Excel Orthopedic Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467537522 PECOS PAC ID: 7012996069 Enrollment ID: O20040715000275 |
| Provider Name | Excel Orthopedic Physical Therapy Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1700518057 PECOS PAC ID: 7416332549 Enrollment ID: O20220909002576 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Nicole Athena Kimball, MS PT 618 N 3rd, Bozeman, MT 59715 Ph: (406) 570-0535 | Ms Nicole Athena Kimball, MS PT 1313 W Park Street, Suite # 7, Livingston, MT 59047 Ph: (406) 222-5519 |
Holly May, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 320 Alpenglow Ln, Livingston, MT 59047 Phone: 406-823-6414 | |
Livingston Health & Rehabilitation Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 S 14th St, Livingston, MT 59047 Phone: 406-222-0672 | |
Mark Robert Broadhead, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 S 14th St, Livingston, MT 59047 Phone: 406-222-0672 | |
Gary Dean Miller, P.T., CPED Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 S. Main St, Livingston, MT 59047 Phone: 406-222-4682 Fax: 406-222-4681 | |
Dr. Lexi Jade Klawitter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 315 S Main St, Livingston, MT 59047 Phone: 406-222-4682 | |
Alison Shannon-lier, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 315 S Main St, Livingston, MT 59047 Phone: 406-222-4682 | |
Erika Suermann, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 S 14th St, Livingston, MT 59047 Phone: 406-222-0672 |