Active NPI
Kimberly E. Chonko
- Specialist
- Topsham, ME
National Provider Identifier
1396953121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OT1416
- Practice address
- 41 Main St
Topsham, ME 04086-1285 - Phone
- (207) 844-8287
- Fax
- (207) 844-8245
- NPI assigned
- May 17, 2007
- Last updated
- Sep 23, 2020
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | OT1416 | ME | Primary |
Addresses
Primary practice location
41 Main St
Topsham, ME 04086-1285
Mailing address
41 Main St
Topsham, ME 04086-1285
Phone (207) 844-8287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080303000756 | ME | Practitioner - Occupational Therapist in Private Practice | 2961586714 | Practice locations: Topsham, ME |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chonko Occupational Therapy, LLC | Current | Accepting new patients |
Locations
126 Main St
Ste 3
Topsham, ME 04086
Phone (207) 844-8287
41 Main St
Topsham, ME 04086
Phone (207) 515-0319
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.
-
dba Kid O'Therapy,LLC
- Occupational Therapist
- Topsham, ME
- NPI 1578798765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1396953121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MAIN ST",
"city": "TOPSHAM",
"state": "ME",
"postal_code": "040861285",
"telephone_number": "207-844-8287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MAIN ST",
"city": "TOPSHAM",
"state": "ME",
"postal_code": "040861285",
"telephone_number": "207-844-8287",
"fax_number": "207-844-8245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHONKO",
"first_name": "KIMBERLY",
"middle_name": "E.",
"name_prefix": "Prof.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ME",
"license": "OT1416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Topsham, ME
- Charitable Hearts Home Care
- Michelle Charleson
- Daniel W Chase, MD
- Kai N Cheng, PA-C
- Chonko Occupational Therapy, LLC (Kid O'Therapy,LLC)
- Elizabeth G Clark
- Clear Space Counseling LLC
- Clearview Counseling and Consultation, LLC (Allison H. H. Thompson, LCSW)
- Clifton a Hodges DDS, P.a.
- Coastal Chiropractic Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.