Individual provider Active NPI

Kim Maria Verdier, OTR/L

  • Physical Medicine & Rehabilitation Physician
  • Blue Ash, OH
National Provider Identifier
1285022855
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OT-1000 Issued in OH
Practice address
4900 Cooper Rd
Blue Ash, OH 45242-6915
Phone
(513) 793-3362
NPI assigned
Jan 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OT-1000 OH Primary

Addresses

Primary practice location

4900 Cooper Rd
Blue Ash, OH 45242-6915

Mailing address

5672 Brasher Ave
Blue Ash, OH 45242-3918
Phone (513) 891-7318

Other names 1

  • Miss Kim Maria Guthrie Former name

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

LicenseStateTypeSpecialty
OT-1000OHMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1285022855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5672 BRASHER AVE",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452423918",
            "telephone_number": "513-891-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 COOPER RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426915",
            "telephone_number": "513-793-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDIER",
        "first_name": "KIM",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "OT-1000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "GUTHRIE",
            "middle_name": "MARIA",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.