Active NPI
Kimberly Cossmann, MOT, OTR/L
- Pediatric Occupational Therapist
- Naperville, IL
National Provider Identifier
1235500133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 056.010539
- Practice address
- 1864 High Grove LN
Suite Number 122
Naperville, IL 60540-9233 - Phone
- (708) 478-1820
- NPI assigned
- Oct 18, 2015
- Last updated
- Oct 18, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 056.010539 | IL | Primary |
Addresses
Primary practice location
1864 High Grove LN
Suite Number 122
Naperville, IL 60540-9233
Mailing address
200 Bach CT
Wheaton, IL 60189-2064
Phone (630) 728-2413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.010539 | IL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Sprouts Pediatrics | Pediatrics | Current | Accepting new patients |
Organizations & group practices 1
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": "1445126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445126400000",
"number": "1235500133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BACH CT",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892064",
"telephone_number": "630-728-2413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1864 HIGH GROVE LN",
"address_2": "SUITE NUMBER 122",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605409233",
"telephone_number": "708-478-1820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSSMANN",
"first_name": "KIMBERLY",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-18",
"last_updated": "2015-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IL",
"license": "056.010539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
- Bonnie Cortez, MASSAGE THERAPIST
- Michael Anthony Cortina, LCPC
- Cory Grathwol, DMD and Nicole Gange , DMD PLLC (G&G Pediatric Dentistry and Orthodontics)
- Janet M Cosentino-Auer, PHARMD
- Darla C Coss, OT
- Nicholas Andrew Costakis, PSY. D.
- Maria Rosa Costanzo, MD
- Costco Wholesale Corporation (Costco Pharmacy #1443)
- Costco Wholesale Corporation (Costco Pharmacy #132)
- Costco Wholesale Corporation (Costco Optical #342)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.