Active NPI
Kimberly Anne Van Hoose, OTR/L
- Occupational Therapist
- Shelton, CT
National Provider Identifier
1366337677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 003344
- Practice address
- 84 Coram Rd
Shelton, CT 06484-5626 - Phone
- (203) 915-9245
- Fax
- (203) 915-9245
- NPI assigned
- Jun 9, 2025
- 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 | 003344 | NY | Primary |
Addresses
Primary practice location
84 Coram Rd
Shelton, CT 06484-5626
Mailing address
84 Coram Rd
Shelton, CT 06484-5626
Phone (203) 915-9245
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1366337677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 CORAM RD",
"city": "SHELTON",
"state": "CT",
"postal_code": "064845626",
"telephone_number": "203-915-9245",
"fax_number": "203-915-9245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 CORAM RD",
"city": "SHELTON",
"state": "CT",
"postal_code": "064845626",
"telephone_number": "203-915-9245",
"fax_number": "203-915-9245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN HOOSE",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "003344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.