Individual provider Active NPI

Kimberly Reinert

  • Occupational Therapist
  • Jackson, NJ
National Provider Identifier
1124397344
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC012078 Issued in PA
Practice address
417 Frank Applegate Rd
Jackson, NJ 08527-4220
Phone
(908) 309-4953
NPI assigned
Dec 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC012078 PA Primary

Addresses

Primary practice location

417 Frank Applegate Rd
Jackson, NJ 08527-4220

Mailing address

417 Frank Applegate Rd
Jackson, NJ 08527-4220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210830001474 NJ Practitioner - Occupational Therapist in Private Practice 4486059458 Reassigns benefits to 3 organizations
Practice locations: Jackson, NJ

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluemark Rehab LLCGroup PAC ID 5092109140, 8 clinicians

Practice addresses (Care Compare)

9 Kenyon Dr
Lakewood, NJ 08701-4754
Phone (718) 207-7735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC012078PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Therapy Services, Inc. Occupational Therapist CurrentSince Aug 15, 2021 Accepting new patients
Bluemark Rehab LLC CurrentSince May 23, 2023 Accepting new patients
At Home by Enhance Therapies LLC Occupational Therapist CurrentSince Feb 1, 2023 Accepting new patients
Esd PT OT & SLP PLLC Occupational Therapist CurrentSince Mar 1, 2024 Accepting new patients

Locations

411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1124397344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 FRANK APPLEGATE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 FRANK APPLEGATE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274220",
            "telephone_number": "908-309-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINERT",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.