Kimberly Rousseau-Simmons, OT
Individual provider Active NPI Occupational Therapist · Berthoud, CO
NPI 1013751700 · NPPES record last updated Jun 19, 2024
Key facts
- NPI
- 1013751700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0007752 (CO)
- Practice address
- 3400 Woodcock St Apt K1
Berthoud, CO 80513-7026 - Phone
- (636) 541-0986
- NPI assigned
- Jun 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prestige Rehab Colorado
Practice addresses (Care Compare)
2020 N Academy Blvd
Suite 261
Colorado Springs, CO 80909-1567
Phone (908) 670-7573
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240912003148 | CO | Practitioner - Occupational Therapist in Private Practice | 8022558360 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0007752 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Rehab LLC | Occupational Therapist | Current |
Accepting new patients |
| Prestige Rehab Colorado | Occupational Therapist | Current |
Accepting new patients |
Locations
2020 N Academy Blvd
Ste 261
Colorado Springs, CO 80909
Phone (719) 232-5591
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0007752 | CO | Yes |
Addresses
Primary practice location
3400 Woodcock St Apt K1
Berthoud, CO 80513-7026
Mailing address
3400 Woodcock St Apt K1
Berthoud, CO 80513-7026
Phone (636) 541-0986
Other providers in Berthoud, CO
- Katherine Breanne Patrick
- Brenda Lynn Peacock
- Poudre Valley Medical Group, LLC
- Kylea Ginger Rickard
- Amanda Lee Roland
- Sarah Santefort
- Kerri Schleiger
- Margaret R Scoufis
- Darla Shaw
- Dena Sue Sheppard-Madden
All providers in Berthoud, CO · Occupational Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.