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Deactivated NPI 1083685275 Deactivated / Inactive NPI Female Practitioner

Kimberly K Devine-Johnson , RPT

Physical Therapist • Mankato, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kimberly Devine-Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 27, 2006
NPI Deactivation Date June 26, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Kimberly Devine-Johnson, RPT was a registered Physical Therapist practicing in Mankato, MN. Throughout an active medical career spanning 18 years, Kimberly Devine-Johnson provided care at the practice location at 150 ST. ANDREWS COURT until profile deactivation on 2024-06-26.

Practice Location & Contact Primary Location

Practice Address

150 St. Andrews Court
Suite 310

Mankato, MN 56001

Telephone 5073885437
Fax 5073882108
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Mankato, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
68 Specialists

Practicing in Mankato, MN (5551 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License MN 3050

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: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.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. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Beth Knoll-Fleming , MS, CCC-SLP

Speech-Language Pathologist

NPI 1023320645

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Sara Sieberg

Occupational Therapist - Pediatrics

NPI 1023471406
Alisa Heiling

Occupational Therapist

NPI 1033683958
Nancy Dobson , RPT

Physical Therapist

NPI 1043281223

Registered Physical Therapist

Mary Vanravenhorst , OTR, L

Occupational Therapist

NPI 1164493144

Occupational Therapist Registered, L

Samantha Erickson , MA, CCC-SLP

Speech-Language Pathologist

NPI 1184695074

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 26, 2024

Record deactivated on June 26, 2024

NPI Profile Active April 16, 2015

NPI status registered as active in NPPES database

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Updated Practice Location April 16, 2015

Registered at 150 ST. ANDREWS COURT, SUITE 310, MANKATO, MN 56001 (Tel: 5073885437)

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Updated Business Mailing Address April 16, 2015

Registered at 150 ST. ANDREWS COURT, SUITE 310, MANKATO, MN 56001 (Tel: 5073885437)

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Provider Name / Credentials Updated April 16, 2015

Recorded as KIMBERLY DEVINE-JOHNSON, RPT

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2015

Physical Therapist (License #3050 in MN)

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Initial NPI Registration & Enumeration January 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083685275
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2006
Last Update: April 16, 2015
Deactivation Date: June 26, 2024

Mailing Address

150 St. Andrews Court, Suite 310

Mankato, MN 56001

Phone: 5073885437

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.