KIMBERLY NICOLE COLON (PHYSICAL THERAPIST) – Physical Therapist, NPI 1104975846

KIMBERLY NICOLE COLON (PHYSICAL THERAPIST) is a healthcare provider. based in Milwaukie, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PHYSICAL THERAPIST. They hold a License No. 28805 (CA). The NPI Number for KIMBERLY NICOLE COLON (PHYSICAL THERAPIST) is 1104975846

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY NICOLE COLON (PHYSICAL THERAPIST)
NPI
1104975846
Phone
(971) 206-5140
Address
4560 SE INTERNATIONAL WAY
Enumeration Date
10 January 2007
Last Update Date
27 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9254647292
Graduation Year
2003 (23 years ago)
PAC ID
0244223204
Group Practice PAC ID
7911334123
Professional Enrollment ID
I20040406000308
Address ID
CA945963532WA1550XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for KIMBERLY NICOLE COLON (PHYSICAL THERAPIST)

  • 4560, Southeast International Way, Milwaukie, Metro, Clackamas County, Oregon, 97222, United States

    MILWAUKIE, OR 97222

    Phone: (971) 206-5140

    Fax: (971) 206-5209

    Type: Mailing

  • Parkside Drive, Walnut Creek, Contra Costa County, California, 94596, United States

    WALNUT CREEK, CA 945963532

    Phone: (925) 784-3322

    Fax: (971) 206-5209

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040406000308IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,564144$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes76095$0
97140Therapy procedure using manual technique, each 15 minutes46991$0
97116Therapy procedure for walking training, each 15 minutes7117$0
97163Evaluation for physical therapy, typically 45 minutes6563$0
View full utilization report →

Insurance plans in this area (ZIP 97222)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911334123View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What is KIMBERLY NICOLE COLON (PHYSICAL THERAPIST)'s NPI number?
KIMBERLY NICOLE COLON (PHYSICAL THERAPIST)'s NPI is 1104975846 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to KIMBERLY NICOLE COLON (PHYSICAL THERAPIST)?
You should see KIMBERLY NICOLE COLON (PHYSICAL THERAPIST) as active in CMS-hosted NPPES data.
What expertise is attributed to KIMBERLY NICOLE COLON (PHYSICAL THERAPIST)?
KIMBERLY NICOLE COLON (PHYSICAL THERAPIST)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is KIMBERLY NICOLE COLON (PHYSICAL THERAPIST) associated with Milwaukie?
Public fields place KIMBERLY NICOLE COLON (PHYSICAL THERAPIST) around Milwaukie, Oregon. Always confirm the exact site before visiting.
Can I trust this NPI listing for KIMBERLY NICOLE COLON (PHYSICAL THERAPIST)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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