Kimberly Sue Rose, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

208441 Issued in TX

Practice address

6641 W Amarillo Blvd
Amarillo, TX 79106-1755

Phone

(806) 344-5252

NPI assigned

Aug 23, 2018

Sex

Female

Sole proprietor

No

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": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1124509617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3542 FM 1058",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790457442",
            "telephone_number": "806-344-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 W AMARILLO BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061755",
            "telephone_number": "806-344-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "208441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Rook
• Rooted Pediatric Therapy PLLC
• Leslee Richelle Rosas, FNP-C
• Jeri King Rose, D.O.
• Julie Dalton Rose, MA, LPC
• Reva Jo Roselius, LPC
• Starla Elaine Ross, OTR
• Theresa Joyce Ross, RN, MSN FNP-BC
• Amber Leigh Roth, APRN
• J Latayne Rothman, FNP

• Occupational Therapy Assistant in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.