Individual provider Active NPI

Kathleen J Kimberlin, OTR

  • Hand Occupational Therapist
  • Pasadena, TX
National Provider Identifier
1114124526
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
109107 Issued in TX
Practice address
3915 Shaver St
Pasadena, TX 77504-2603
Phone
(713) 378-0030
Fax
(713) 378-0399
NPI assigned
Jun 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 109107 TX Primary

Addresses

Primary practice location

3915 Shaver St
Pasadena, TX 77504-2603

Mailing address

25414 Spring Ridge Dr
Spring, TX 77386-1510
Phone (832) 275-6111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105107TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nisal Corporation Past Accepting new patients
Nisal Corporation Past Accepting new patients
Rehabilitation Management and Staffing, LLC Past Accepting new patients
Manohar M Alloju M D P a Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114124526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25414 SPRING RIDGE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861510",
            "telephone_number": "832-275-6111",
            "fax_number": "281-857-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 SHAVER ST",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042603",
            "telephone_number": "713-378-0030",
            "fax_number": "713-378-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBERLIN",
        "first_name": "KATHLEEN",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "TX",
            "license": "109107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.