Active NPI
Kimberley Berry
- Occupational Therapist
- Winter Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13078
- Practice address
- 7702 Waterview Way
Winter Haven, FL 33884-3553 - Phone
- (321) 732-0368
- NPI assigned
- Mar 11, 2019
- 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 | 13078 | MA | Primary |
Addresses
Primary practice location
7702 Waterview Way
Winter Haven, FL 33884-3553
Mailing address
109 E Belmar St
Lakeland, FL 33803-2205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13078 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services, Inc | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
| Homeside Rehab Florida LLC | Occupational Therapist | Current | Accepting new patients |
| Love & Behavior Therapy LLC | Current | Accepting new patients | |
| Love and Co Therapeutic Interventions,LLC | Past | Accepting new patients |
Locations
7000 W Palmetto Park Rd
Ste 210
Boca Raton, FL 33433
Phone (561) 409-4490
2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654
8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979
38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
3846 Flatlands Ave
Brooklyn, NY 11234
Phone (347) 875-0806
Organizations & group practices 5
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.
-
- Behavior Analyst
- Winter Haven, FL
- NPI 1407585797
-
- Speech-Language Pathologist
- Lakeland, FL
- NPI 1669934691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1215495155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 E BELMAR ST",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338032205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7702 WATERVIEW WAY",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338843553",
"telephone_number": "321-732-0368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "KIMBERLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-11",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "13078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.