Active NPI
Kimberly Huntington, OT
- Occupational Therapist
- West Grove, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 04950
- Practice address
- 900 W Baltimore Pike Ste 103
West Grove, PA 19390-9313 - Phone
- (610) 869-2200
- Fax
- (610) 869-2311
- NPI assigned
- Dec 22, 2006
- 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 | 04950 | MD | Primary |
Addresses
Primary practice location
900 W Baltimore Pike Ste 103
West Grove, PA 19390-9313
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other names 1
- Kimberly Lundahl
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3483 E Lincoln Hwy
Unit 2
Thornsdale, PA 19372-1014
Phone (484) 784-4158
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.05 of 100
- Quality
- 89.12
- Improvement activities
- 40
- Cost
- 73.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04950 | MD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Occupational Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
100 Valley Center Rd
Wilmington, DE 19808
Phone (302) 229-1986
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
826 E Baltimore Pike
Unit 9
Kennett Square, PA 19348
Phone (610) 335-1410
9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200
118 Townsedge Dr
Quarryville, PA 17566
Phone (717) 806-5126
3483 Lincoln Hwy
Unit 2
Thorndale, PA 19372
Phone (484) 784-4158
105 Vineyard Way
Ste 100
West Grove, PA 19390
Phone (610) 869-5792
900 W Baltimore Pike
Ste 103
West Grove, PA 19390
Phone (610) 709-6666
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.
-
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
Occupational Therapist, PA
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442016000000",
"number": "1396809299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W BALTIMORE PIKE STE 103",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193909313",
"telephone_number": "610-869-2200",
"fax_number": "610-869-2311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTINGTON",
"first_name": "KIMBERLY",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2015-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "04950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "LUNDAHL",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.