Individual provider Active NPI

Kimberly Marie Ford, MA, OTR

  • Hand Occupational Therapist
  • Torrance, CA
National Provider Identifier
1023212115
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT9228 Issued in CA
Practice address
3475 Torrance Blvd
Suite B-2
Torrance, CA 90503-5800
Phone
(310) 316-7748
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT9228 CA
Hand Occupational Therapist 225XH1200X OT9228 CA Primary

Addresses

Primary practice location

3475 Torrance Blvd
Suite B-2
Torrance, CA 90503-5800

Mailing address

30 Harbor Sight Dr
Rolling Hills Estates, CA 90274-5159
Phone (310) 748-7291

Other practice location 1

2011 Cedar Ave
Manhattan Beach, CA 90266-2955
Phone (310) 546-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221226000177 CA Practitioner - Occupational Therapist in Private Practice 3971973546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy by Body Connection Inc.Group PAC ID 9739305020, 2 clinicians

Practice addresses (Care Compare)

2011 Cedar Ave
Suite 100
Manhattan Beach, CA 90266-2955
Phone (310) 546-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
OT9228CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy by Body Connection Inc. Occupational Therapist CurrentSince Dec 12, 2022 Accepting new patients
Advanced Therapy Center Occupational Therapist PastSince Jun 1, 2018 Accepting new patients

Locations

2011 Cedar Ave
Ste 100
Manhattan Beach, CA 90266
Phone (310) 546-1444

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1023212115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HARBOR SIGHT DR",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902745159",
            "telephone_number": "310-748-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 TORRANCE BLVD",
            "address_2": "SUITE B-2",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035800",
            "telephone_number": "310-316-7748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2011 Cedar Ave",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902662955",
            "country_code": "US",
            "telephone_number": "310-546-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT9228",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT9228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.