Active NPI
Susan Kimble, MA, OTR
- Occupational Therapist
- Harlingen, TX
National Provider Identifier
1255564530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 112492
- Practice address
- 106 E Jackson St
Harlingen, TX 78550-6846 - Phone
- (956) 425-3338
- Fax
- (956) 425-3339
- NPI assigned
- Sep 2, 2009
- 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 | 112492 | TX | Primary |
Addresses
Primary practice location
106 E Jackson St
Harlingen, TX 78550-6846
Mailing address
3102 Haine Dr Apt 213
Harlingen, TX 78550-0800
Phone (956) 367-2424
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112492 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Plus Therapy LLC | Past | 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 and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Jarrell, TX
- NPI 1821132994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1255564530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3102 HAINE DR APT 213",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785500800",
"telephone_number": "956-367-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 E JACKSON ST",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785506846",
"telephone_number": "956-425-3338",
"fax_number": "956-425-3339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBLE",
"first_name": "SUSAN",
"credential": "MA, OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-02",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "112492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.