MRS. KIMBERLY ANN WILLIAMS (DPT, ATC) – Physical Therapist, NPI 1093823072

MRS. KIMBERLY ANN WILLIAMS (DPT, ATC) is a healthcare provider. based in Pullman, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT, ATC. They hold a License No. PT 00008521 (WA). The NPI Number for MRS. KIMBERLY ANN WILLIAMS (DPT, ATC) is 1093823072

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY ANN WILLIAMS (DPT, ATC)
NPI
1093823072
Phone
(509) 332-7778
Address
588 SE BISHOP BLVD STE A
Enumeration Date
29 August 2006
Last Update Date
25 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3608355349
Graduation Year
2001 (25 years ago)
PAC ID
5294873204
Group Practice PAC ID
2163580929
Professional Enrollment ID
I20091112000121
Address ID
WA986714133WA1700XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for MRS. KIMBERLY ANN WILLIAMS (DPT, ATC)

  • 588 SE BISHOP BLVD STE A

    PULLMAN, WA 991635534

    Phone: (509) 332-7778

    Fax: (509) 332-7032

    Mailing address matches the actual address.

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: 2009-11-12

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
I20091112000121IPhysical Therapist In Private PracticeWATBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes45946$0
97140Therapy procedure using manual technique, each 15 minutes18336$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes13524$0
97530Therapy procedure using functional activities11935$0
97161Evaluation for physical therapy, typically 20 minutes2422$0
View full utilization report →

Insurance plans in this area (ZIP 99163)

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Provider's Procedures

MRS. KIMBERLY ANN WILLIAMS (DPT, ATC) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYWA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes16419

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: 2163580929View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
-AZ
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Is MRS. KIMBERLY ANN WILLIAMS (DPT, ATC) listed with a National Provider Identifier?
Yes — MRS. KIMBERLY ANN WILLIAMS (DPT, ATC) has NPI 1093823072 on file in the registry.
Active or inactive — what applies to MRS. KIMBERLY ANN WILLIAMS (DPT, ATC)?
You should see MRS. KIMBERLY ANN WILLIAMS (DPT, ATC) as active in CMS-hosted NPPES data.
What clinical focus is listed for MRS. KIMBERLY ANN WILLIAMS (DPT, ATC)?
At a glance, MRS. KIMBERLY ANN WILLIAMS (DPT, ATC) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Washington is MRS. KIMBERLY ANN WILLIAMS (DPT, ATC) registered?
Use Pullman, Washington as the headline location for MRS. KIMBERLY ANN WILLIAMS (DPT, ATC) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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