Individual provider Active NPI

Kimberly M Ross, OTR L,CHT

  • Occupational Therapist
  • Cottonwood Heights, UT
National Provider Identifier
1174524862
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
375157-4201 Issued in UT
Practice address
6340 S 3000 E Ste 200
Cottonwood Heights, UT 84121-3552
Phone
(801) 743-4500
Fax
(435) 655-2388
NPI assigned
Aug 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 375157-4201 UT Primary
Hand Occupational Therapist 225XH1200X 375157-4201 UT

Addresses

Primary practice location

6340 S 3000 E Ste 200
Cottonwood Heights, UT 84121-3552

Mailing address

6340 S 3000 E Ste 200
Cottonwood Heights, UT 84121-3552
Phone (801) 743-4500

Other practice location 1

590 S Wakara Way
Salt Lake City, UT 84108-1200
Phone (801) 587-7001

Other identifiers 7

IdentifierTypeStateIssuer
68950OtherUTPEHP
5417OtherUTDMBA
P00183940OtherUTRAILROAD MEDICARE
1108540001OtherUTCIGNA DMERC
6826064002OtherUTCIGNA
870388269BR1OtherUTEDUCATORS MUTUAL
99375157403001OtherUTBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kross196368@direct.med.utah.edu Direct UNIVERSITY OF UTAH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040813000401 UT Practitioner - Occupational Therapist in Private Practice 5698748184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Ohio State University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosenberg Cooley Metcalf LCGroup PAC ID 0042291510, 35 clinicians

Practice addresses (Care Compare)

6340 S 3000
Suite 200
Salt Lake City, UT 84121-3552
Phone (435) 655-6600

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
375157-4201UTMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Apr 10, 2018 Accepting new patients
University of Utah Adult Services CurrentSince Apr 10, 2018 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah CurrentSince Mar 14, 2018 Accepting new patients
Rosenberg Cooley Metcalf LC CurrentSince Nov 3, 2025 Accepting new patients
University of Utah CurrentSince Mar 14, 2018 Accepting new patients
Rosenberg Cooley Metcalf LC CurrentSince Nov 3, 2025 Accepting new patients

Locations

900 Round Valley Dr
Ste 100
Park City, UT 84060
Phone (435) 655-6600

6340 S 3000 E
Ste 200
Salt Lake City, UT 84121
Phone (435) 655-6600

590 S Wakara Way
Slc, UT 84108
Phone (801) 587-7005

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJFECD

Organizations & group practices 7

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1174524862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 S 3000 E STE 200",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213552",
            "telephone_number": "801-743-4500",
            "fax_number": "435-655-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 S 3000 E STE 200",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213552",
            "telephone_number": "801-743-4500",
            "fax_number": "435-655-2388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 S Wakara Way",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841081200",
            "country_code": "US",
            "telephone_number": "801-587-7001",
            "fax_number": "801-581-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "OTR L,CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "375157-4201",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "UT",
            "license": "375157-4201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "68950",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "5417",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00183940",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DMERC",
            "identifier": "1108540001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6826064002",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATORS MUTUAL",
            "identifier": "870388269BR1",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "99375157403001",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kross196368@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF UTAH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.