Kimberly Willett, OTR/L, CLT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT01319 Issued in RI

Practice address

1147 Sharps Lot Rd
Swansea, MA 02777-5024

Phone

(508) 212-5514

NPI assigned

Apr 21, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Linn Health and RehabilitationGroup PAC ID 4880587880, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Linn Health & Rehabilitation

  • Physical Therapist
  • East Providence, RI
  • NPI 1639222367

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1023405644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 SHARPS LOT RD",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027775024",
            "telephone_number": "508-212-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 SHARPS LOT RD",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027775024",
            "telephone_number": "508-212-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "KIMBERLY",
        "credential": "OTR/L, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "10571",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT01319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Westgate
• Whole Heart Therapy, Inc.
• Deaundre Mykell Wiggins
• Joan T Wildenhain, NP
• Carrie A Wilkins, RN
• Christine Marie Wirges
• Hugh Woolverton III, M.D.
• Yellow Brick Physical Therapy LLC
• Yellow Brick Physical Therapy, LLC
• Sara Elizabeth Zanghi, B.A. AND B.S.

• Occupational Therapist in Swansea, MA
• Providers in Swansea, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.