Individual provider Active NPI

Kimberly Estrada, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Bergenfield, NJ
National Provider Identifier
1255702866
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
46TR00533600 Issued in NJ
Practice address
37 Reid Ave
Bergenfield, NJ 07621-1922
Phone
(201) 638-2930
NPI assigned
Oct 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 46TR00533600 NJ Primary

Addresses

Primary practice location

37 Reid Ave
Bergenfield, NJ 07621-1922

Mailing address

37 Reid Ave
Bergenfield, NJ 07621-1922
Phone (201) 638-2930

Other names 1

  • Kimberly Pingul Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151103001446 NJ Practitioner - Occupational Therapist in Private Practice 6305156381 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimal Movement PTGroup PAC ID 6709280126, 3 clinicians

Practice addresses (Care Compare)

901 Route 23
Suite 205
Pompton Plains, NJ 07444-1025
Phone (973) 706-1130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Physical Therapy Associates, P.a. CurrentSince Dec 22, 2022 Accepting new patients
Optimal Movement PT CurrentSince Apr 26, 2023 Accepting new patients
Ompt Pelvic Health & Wellness Physical Rehabilitation PastSince Aug 3, 2025 Accepting new patients

Locations

901 Route 23
Ste 205
Pompton Plains, NJ 07444
Phone (973) 706-1130

142 Route 23
Pompton Plns, NJ 07444
Phone (973) 706-1130

1060 Main St
Ste 302
River Edge, NJ 07661
Phone (201) 833-0234

Organizations & group practices 4

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": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1255702866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 REID AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211922",
            "telephone_number": "201-638-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 REID AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211922",
            "telephone_number": "201-638-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "KIMBERLY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NJ",
            "license": "46TR00533600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PINGUL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.