Active NPI
Kimberly Labott, MOTR
- Occupational Therapist
- Beloit, WI
National Provider Identifier
1346619343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4557
- Practice address
- 3005 S Riverside Dr Ste 103
Beloit, WI 53511-1500 - Phone
- (608) 313-8600
- NPI assigned
- Sep 20, 2015
- Last updated
- Sep 20, 2015
- 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 | 4557 | WI | Primary |
Addresses
Primary practice location
3005 S Riverside Dr Ste 103
Beloit, WI 53511-1500
Mailing address
2745 Sharon Dr
Beloit, WI 53511-9566
Phone (608) 247-2003
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 |
|---|---|---|---|
| 4557 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moving on LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Janesville, WI
- NPI 1063883668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442707200000",
"number": "1346619343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2745 SHARON DR",
"city": "BELOIT",
"state": "WI",
"postal_code": "535119566",
"telephone_number": "608-247-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 S RIVERSIDE DR STE 103",
"city": "BELOIT",
"state": "WI",
"postal_code": "535111500",
"telephone_number": "608-313-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABOTT",
"first_name": "KIMBERLY",
"credential": "MOTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-20",
"last_updated": "2015-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beloit, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.