Individual provider Active NPI

Kiersten Leeann Minorik, OTR/L

  • Occupational Therapist
  • Uniontown, OH
National Provider Identifier
1376320127
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT012484 Issued in OH
Practice address
11330 Cleveland Ave NW
Uniontown, OH 44685-8078
Phone
(330) 595-9059
NPI assigned
Sep 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT012484 OH Primary

Addresses

Primary practice location

11330 Cleveland Ave NW
Uniontown, OH 44685-8078

Mailing address

68 Gilpin Rd
Akron, OH 44313-6214

Other practice location 1

1464 Industry Rd
Atwater, OH 44201-9349
Phone (330) 947-2664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311002476 OH Practitioner - Occupational Therapist in Private Practice 3173969391 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Speech & Swallowing Partners LLC CurrentSince Feb 19, 2024 Accepting new patients
Waterloo Local School District Past Accepting new patients

Locations

11330 Cleveland Ave NW
Uniontown, OH 44685
Phone (330) 595-9059

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1376320127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 GILPIN RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443136214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 CLEVELAND AVE NW",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858078",
            "telephone_number": "330-595-9059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1464 Industry Rd",
            "address_purpose": "LOCATION",
            "city": "Atwater",
            "state": "OH",
            "postal_code": "442019349",
            "country_code": "US",
            "telephone_number": "330-947-2664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINORIK",
        "first_name": "KIERSTEN",
        "middle_name": "LEEANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT012484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.