Kimberly Addison, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

214929 Issued in TX

Practice address

11110 Tom Adams Dr
Austin, TX 78753-3354

Phone

(512) 836-1515

NPI assigned

Jul 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1265040737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9807 N FM 620 RD APT 14210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787262272",
            "telephone_number": "512-786-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 TOM ADAMS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533354",
            "telephone_number": "512-836-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDISON",
        "first_name": "KIMBERLY",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "214929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adc Physicians PA
• Adcctx
• Jennifer L Adcock, CRNA
• Carmen E. Addington, CNS
• Janci Danae Addison
• Adeeb Masood MD PLLC
• Adewale E Adegbite, RN
• Michael Adegun
• Temiloluwa Adejuyigbe, MD, MPH
• Julia Adell, MA, CCC-SLP

• Occupational Therapy Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.