Kimberly Shutt, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC013080 Issued in PA

Practice address

1000 Schuylkill Manor Rd
Pottsville, PA 17901-3862

Phone

(570) 624-3228

NPI assigned

Feb 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kimberly Wesner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1043635535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SCHUYLKILL MANOR RD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013862",
            "telephone_number": "570-624-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SCHUYLKILL MANOR RD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013862",
            "telephone_number": "570-624-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTT",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC013080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "WESNER",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Devan Shimko
• Daniella Shoener
• Heather Elaine Shuker, CRNP
• Christian Shuman, MD
• Don Paul Shurman, D.O.
• Charles Edmund Siarkowski III, PHARM D
• Peter P Sidoriak, DPM
• Edward James Silverman, M.D.
• Eric Siminitus, PA-S
• Rajendra Singh, MD

• Occupational Therapist in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.