Active NPI
Kimberly Ann Finnegan, COTA/L
- Occupational Therapy Assistant
- Mansfield, OH
National Provider Identifier
1346436698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA.02011
- Practice address
- 335 Glessner Ave
Mansfield, OH 44903-2269 - Phone
- (419) 520-8586
- Fax
- (419) 526-8634
- NPI assigned
- Sep 20, 2007
- 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 Therapy Assistant | 224Z00000X | OTA.02011 | OH | Primary |
Addresses
Primary practice location
335 Glessner Ave
Mansfield, OH 44903-2269
Mailing address
335 Glessner Ave
Mansfield, OH 44903-2269
Phone (419) 520-8586
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 |
|---|---|---|---|
| OTA.02011 | OH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1346436698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 GLESSNER AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449032269",
"telephone_number": "419-520-8586",
"fax_number": "419-526-8634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 GLESSNER AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449032269",
"telephone_number": "419-520-8586",
"fax_number": "419-526-8634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINNEGAN",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-20",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "OTA.02011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.