Active NPI
Kimberly E Freeman, MOT, OTR
- Occupational Therapist
- Denton, TX
National Provider Identifier
1285929562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 114037
- Practice address
- 209 E University Dr
Denton, TX 76209-2011 - Phone
- (940) 206-9009
- NPI assigned
- Jun 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 114037 | TX | Primary |
Addresses
Primary practice location
209 E University Dr
Denton, TX 76209-2011
Mailing address
443 Strata Dr
Denton, TX 76201-1859
Phone (409) 719-7518
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 |
|---|---|---|---|
| 114037 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Pediatric Therapy Center PC | Occupational Therapist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1285929562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 STRATA DR",
"city": "DENTON",
"state": "TX",
"postal_code": "762011859",
"telephone_number": "409-719-7518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 E UNIVERSITY DR",
"city": "DENTON",
"state": "TX",
"postal_code": "762092011",
"telephone_number": "940-206-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "KIMBERLY",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "MOT, OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "114037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.