Kimberly Nicole Adelman
Individual provider Active NPI Occupational Therapist · Uniontown, OH
NPI 1093377459 · NPPES record last updated Jul 5, 2019
Key facts
- NPI
- 1093377459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT006910 (OH)
- Practice address
- 3570 Executive Dr Ste 111
Uniontown, OH 44685-8712 - Phone
- (330) 595-9059
- NPI assigned
- Jul 5, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190819004056 | OH | Practitioner - Occupational Therapist in Private Practice | 8123356821 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Speech & Swallowing Partners LLC | Current |
Accepting new patients |
Locations
3570 Executive Dr
Ste 111
Green, OH 44685
Phone (330) 595-9059
11330 Cleveland Ave NW
Uniontown, OH 44685
Phone (330) 595-9059
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT006910 | OH | Yes |
Addresses
Primary practice location
3570 Executive Dr Ste 111
Uniontown, OH 44685-8712
Mailing address
3784 Troon Dr
Uniontown, OH 44685-8890
Other providers in Uniontown, OH
- 1-4-All LLC
- Yara T Abuaita
- Active Lifestyle Medical Supply LLC
- Activemend Chiropractic and Rehabilitation LLC
- Rekita Kay Adams
- Mary Kathleen Akers
- Akron General Medical Center
- Akron General Medical Center
- Akron General Medical Center
- Akron General Medical Center
All providers in Uniontown, OH · Occupational Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2019. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.