Active NPI
Kimberly Rodriguez, OTR/L, CLT
- Occupational Therapist
- Columbia, MD
National Provider Identifier
1336867704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 07499
- Practice address
- 6045 Stevens Forest Rd
Columbia, MD 21045-3828 - Phone
- (410) 313-6900
- NPI assigned
- Aug 22, 2022
- 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 | 07499 | MD | Primary |
Addresses
Primary practice location
6045 Stevens Forest Rd
Columbia, MD 21045-3828
Mailing address
35 Arverne CT
Lutherville Timonium, MD 21093-3052
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Kimberly_Rodriguez@hcpss.org |
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 |
|---|---|---|---|
| 07499 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1336867704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 ARVERNE CT",
"city": "LUTHERVILLE TIMONIUM",
"state": "MD",
"postal_code": "210933052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6045 STEVENS FOREST RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210453828",
"telephone_number": "410-313-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "KIMBERLY",
"credential": "OTR/L, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "07499",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Kimberly_Rodriguez@hcpss.org",
"affiliation": "N",
"address_1": "6045 Stevens Forest Rd",
"city": "Columbia",
"state": "MD",
"country_code": "US",
"postal_code": "210453828",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.