Individual provider Active NPI

Kimberly E. Chonko

  • Specialist
  • Topsham, ME
National Provider Identifier
1396953121
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OT1416 Issued in ME
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Chonko Occupational Therapy, LLC CurrentSince Jan 1, 1990 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.

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

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.

Verify at the official NPI Registry.