Individual provider Active NPI

Kimara S Cohen, OT

  • Occupational Therapist
  • Boynton Beach, FL
National Provider Identifier
1144250507
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
004009 Issued in GA
Practice address
2500 Quantum Lakes Dr
Suite 108
Boynton Beach, FL 33426-8324
Phone
(561) 244-3627
Fax
(561) 244-9627
NPI assigned
Jul 3, 2006
Last updated
May 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2019

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 004009 GA Primary

Addresses

Primary practice location

2500 Quantum Lakes Dr
Suite 108
Boynton Beach, FL 33426-8324

Mailing address

2500 Quantum Lakes Dr
Suite 108
Boynton Beach, FL 33426-8324
Phone (561) 244-3627

Other identifiers 1

IdentifierTypeStateIssuer
004009OtherGAOT #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060802000015 GA Practitioner - Occupational Therapist in Private Practice 5698788065 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004009GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Transperfect Health Corp Occupational Therapist CurrentSince Feb 3, 2024 Accepting new patients
Alliance Healthcare Services of Georgia, Inc Past Accepting new patients

Locations

1170 Peachtree St NE
Ste 1600
Atlanta, GA 30309
Phone (570) 854-1632

1250 Broadway
Fl 32
New York, NY 10001
Phone (212) 290-6447

Organizations & group practices 2

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1144250507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR",
            "address_2": "SUITE 108",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268324",
            "telephone_number": "561-244-3627",
            "fax_number": "561-244-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR",
            "address_2": "SUITE 108",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268324",
            "telephone_number": "561-244-3627",
            "fax_number": "561-244-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "KIMARA",
        "middle_name": "S",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "004009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT #",
            "identifier": "004009",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.