Kimberly Michelle Dinan, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

020767-1 Issued in NY

Practice address

1351 Washington St
Watertown, NY 13601-4531

Phone

(315) 785-3700

Fax

(315) 785-6855

NPI assigned

Sep 1, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1104373547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 GENERAL GRANT CIR",
            "city": "SACKETS HARBOR",
            "state": "NY",
            "postal_code": "136859509",
            "telephone_number": "315-237-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014531",
            "telephone_number": "315-785-3700",
            "fax_number": "315-785-6855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 County Route 64",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "NY",
            "postal_code": "131143229",
            "country_code": "US",
            "telephone_number": "315-963-0864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINAN",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020767-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Watertown, NY
• Providers in Watertown, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.