Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Kimberly J Mazzella, PT

Individual provider Physical Therapist · NPI 1730110982

MS. Kimberly J Mazzella, PT is a Physical Therapist in Private Practice in Meridian, Idaho. Qualified in 2002, 24 years ago. Practices with Nichols Therapy Group PC, a 7-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
24
Licensed in
ID
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

875 S Vanguard Way Ste 110
Meridian, ID 83642-8541
Phone: (208) 960-0932
Fax: (208) 960-0935
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-7231 (ID)

Record details

NPI number1730110982
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESOctober 26, 2022
Certification dateOctober 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Nichols Therapy Group P.C. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meridian