Active NPI
Kimberly Kushner, OTR/L
- Occupational Therapist
- Millville, NJ
National Provider Identifier
1124481718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00595700
- Practice address
- 1101 Wheaton Ave
Suite 170
Millville, NJ 08332-2003 - Phone
- (856) 293-7909
- Fax
- (856) 293-1850
- NPI assigned
- Mar 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00595700 | NJ | Primary |
Addresses
Primary practice location
1101 Wheaton Ave
Suite 170
Millville, NJ 08332-2003
Mailing address
1101 Wheaton Ave
Suite 170
Millville, NJ 08332-2003
Phone (856) 293-7909
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00595700 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1124481718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 WHEATON AVE",
"address_2": "SUITE 170",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083322003",
"telephone_number": "856-293-7909",
"fax_number": "856-293-1850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 WHEATON AVE",
"address_2": "SUITE 170",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083322003",
"telephone_number": "856-293-7909",
"fax_number": "856-293-1850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSHNER",
"first_name": "KIMBERLY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-31",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00595700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.