Kimberly Kate Greenberg, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

13759 Issued in MA

Practice address

200 Ivy St
Brookline, MA 02446-3907

Phone

(617) 732-0220

NPI assigned

Nov 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mab Community Services, Inc

  • Rehabilitation Practitioner
  • Worcester, MA
  • NPI 1821129982

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1104582972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SAINT PAUL ST APT 101",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466598",
            "telephone_number": "847-507-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 IVY ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463907",
            "telephone_number": "617-732-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021293109",
            "country_code": "US",
            "telephone_number": "617-952-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "KIMBERLY",
        "middle_name": "KATE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056014463",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "13759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni S Greatrex, M.D.
• Carlton Green
• Nyssa York Green, PSY.D.
• S Emilie Green, M.S.W.
• Karen S Greenberg, M.D.
• Pamela Pomeroy Greenberg, LICSW
• Dana Rebecca Greene, MS, RD, LDN
• Kathryn Alana Greene, PSY.D.
• Megan Elizabeth Greene
• Allan H Greenfield, M.D.

• All providers in Brookline, MA
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.