Active NPI
Kimberly H. Cottrell
- Pediatric Occupational Therapist
- Lynchburg, VA
National Provider Identifier
1104247592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 0119005381
- Practice address
- 101 Leroy Bowen Dr Ste a
Lynchburg, VA 24502-5093 - Phone
- (434) 239-6630
- NPI assigned
- Jan 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 0119005381 | VA | Primary |
Addresses
Primary practice location
101 Leroy Bowen Dr Ste a
Lynchburg, VA 24502-5093
Mailing address
101 Leroy Bowen Dr Ste a
Lynchburg, VA 24502-5093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119005381 | VA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jasper Rehab VA LLC | Current | Accepting new patients |
Locations
4445 Corporation Ln
Ste 264
Virginia Beach, VA 23462
Phone (561) 556-2656
Organizations & group practices 1
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": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1104247592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 LEROY BOWEN DR STE A",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245025093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LEROY BOWEN DR STE A",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245025093",
"telephone_number": "434-239-6630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTRELL",
"first_name": "KIMBERLY",
"middle_name": "H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-02",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "VA",
"license": "0119005381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.