MRS. KIMBERLEY ANN CLARK PT
NPI 1225280886
Physical Therapist in Canandaigua, NY

Active since October 15, 2008Accepts Medicare Assignment
5415 COUNTY ROAD 30, CANANDAIGUA, NY 14424(585) 394-9510 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kimberley Ann Clark Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMBERLEY ANN CLARK PT (NPI 1225280886) is an individual physical therapist in Canandaigua, New York, licensed in New York (024674) and active in the NPI registry since October 2008. She is a graduate of Other (2002).

NPPES Registry Identity

NPI1225280886
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. KIMBERLEY ANN CLARKCredential: PT
Location Address5415 COUNTY ROAD 30Canandaigua, NY 14424-7964
Mailing Address68 Princeton LnFairport, NY 14450-9027 · (585) 598-3092
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 15, 2008
NPI 1225280886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NY · 024674
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

5415 COUNTY ROAD 30, Canandaigua, NY 14424

Other Names 1

Former Name (1)Kimberley Ann Brhel

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kimberley Ann Clark Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153676176
PECOS Enrollment IDI20180629001083

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14424 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
5415 COUNTY ROAD 30
CANANDAIGUA, NY 14424
Case Manager/Care Coordinator
5415 COUNTY ROAD 30
CANANDAIGUA, NY 14424
Case Manager/Care Coordinator
5415 COUNTY ROAD 30
CANANDAIGUA, NY 14424
Psychologist (School)
5415 COUNTY ROAD 30
CANANDAIGUA, NY 14424
Speech-Language Pathologist
5415 COUNTY ROAD 30
CANANDAIGUA, NY 14424
Physical Therapist
5415 COUNTY ROAD 30
CANANDAIGUA, NY 14424
Case Manager/Care Coordinator
5415 COUNTY ROAD 30
CANANDAIGUA, NY 14424
Physical Therapy Assistant
5415 COUNTY ROAD 30
CANANDAIGUA, NY 14424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberley Clark's NPI number?

The NPI number for Kimberley Clark is 1225280886. It was assigned to this individual provider in the NPPES registry on October 15, 2008. The provider is also known as Kimberley Ann Brhel.

Where is Kimberley Clark located?

Kimberley Clark practices at 5415 County Road 30, Canandaigua, NY 14424. The listed phone number is (585) 394-9510.

What is Kimberley Clark's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kimberley Clark enrolled in Medicare?

Yes. Kimberley Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kimberley Clark was last updated on October 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.