Kimberly Burns
Individual provider Active NPI Occupational Therapy Assistant · Scottsburg, IN
NPI 1154750800 · NPPES record last updated Nov 4, 2013
Key facts
- NPI
- 1154750800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 3200253A (IN)
- Practice address
- 545 W. Moonglo Rd
Scottsburg, IN 47170 - Phone
- (812) 752-3499
- NPI assigned
- Nov 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3200253A | IN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 3200253A | IN | Yes |
Addresses
Primary practice location
545 W. Moonglo Rd
Scottsburg, IN 47170
Mailing address
545 W. Moonglo Rd
Scottsburg, IN 47170
Other providers in Scottsburg, IN
- Martin William Brooks
- Victoria Ann Buchheit
- Charles Buhse
- Janet Marie Buhse
- Kaitlyn Burdine
- Jill Byrer-Boley
- Robin Campbell
- Cardiac Care Center of Louisville, PLLC
- Christopher E Carter
- Seth Carter
All providers in Scottsburg, IN · Occupational Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.