Hailey Nicole-Liu Kimmelman

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

030587-01 Issued in NY

Practice address

2405 Dock Rd
Bellmore, NY 11710-3805

Phone

(516) 232-5096

NPI assigned

Oct 28, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1114895455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 DOCK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 DOCK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103805",
            "telephone_number": "516-232-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMELMAN",
        "first_name": "HAILEY",
        "middle_name": "NICOLE-LIU",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "030587-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Rose Kerr, PT, DPT
• Jessica Keusch, M.D.
• Halima Khan, OD
• Daniel Siyun Kim
• Juliet Young Kim, DACM, L.AC
• Dana D King
• Mary P. King, M.D.
• Patricia McEntee Knap
• Jacquelyn Alissa Knee
• Michael Knee, RPH

• Occupational Therapist in Bellmore, NY
• Providers in Bellmore, 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 Oct 30, 2025; 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.