Active NPI
Judith Kimball, PHD,OTR
- Occupational Therapist
- Biddeford, ME
National Provider Identifier
1306087770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT138
- Practice address
- 441 Main St
Biddeford, ME 04005-2140 - Phone
- (207) 283-1954
- Fax
- (207) 283-1954
- NPI assigned
- Mar 16, 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 | OT138 | ME | Primary |
Addresses
Primary practice location
441 Main St
Biddeford, ME 04005-2140
Mailing address
441 Main St
Biddeford, ME 04005-2140
Phone (207) 283-1954
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252130099 | Medicaid | ME |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT138 | ME | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237161600000",
"number": "1306087770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 MAIN ST",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040052140",
"telephone_number": "207-283-1954",
"fax_number": "207-283-1954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 MAIN ST",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040052140",
"telephone_number": "207-283-1954",
"fax_number": "207-283-1954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBALL",
"first_name": "JUDITH",
"credential": "PHD,OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-16",
"last_updated": "2009-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252130099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Biddeford, ME
- Kidspeace National Centers of New England Inc
- Kidspeace National Centers of New England Inc
- Kidspeace National Centers of New England Inc
- Kidspeace National Centers of New England Inc
- Kidspeace National Centers of New England Inc
- Kindred Paths Therapy LLC
- Jessica M King, LCPC-C
- Nicole Kipp, CRNA
- Kerstin Kirchner, MPH, LCSW, CCS
- David Kispert, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.