Active NPI
Kiersten Leeann Minorik, OTR/L
- Occupational Therapist
- Uniontown, OH
National Provider Identifier
1376320127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT012484
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Speech & Swallowing Partners LLC | Current | 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.
-
- Speech-Language Pathologist
- Uniontown, OH
- NPI 1588027866
-
- Local Education Agency (LEA)
- Atwater, OH
- NPI 1962708123
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.