Kim Pearson-Pesciotta, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

TR001197 Issued in NJ

Practice address

1 Pelican Dr
#9
Bayville, NJ 08721-1600

Phone

(732) 237-8830

NPI assigned

Apr 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ocean Speech and Learning Center

  • Speech-Language Pathologist
  • Bayville, NJ
  • NPI 1568736700
  NPD (past)

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460160000000",
    "number": "1033573654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BLUE HERON DR S",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532077",
            "telephone_number": "732-255-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PELICAN DR",
            "address_2": "#9",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087211600",
            "telephone_number": "732-237-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON-PESCIOTTA",
        "first_name": "KIM",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-09",
        "last_updated": "2016-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "TR001197",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NJ",
            "license": "TR001197",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "TR001197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Pagnotta
• Sara Lynn Parton, PT, DPT
• Priyanka Patel
• Ravi Patel
• Courtney Paige Patterson, PA
• Cheryl Petersen, RPH
• Bridget Pfeifer, PT, DPT
• Priolo Health Associates, LLC
• Frances Priolo, MS FNP-C, APN,C
• Quality Medical Transport, Inc.

• Occupational Therapist in Bayville, NJ
• Providers in Bayville, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.