Active NPI
Kimberly Rasor
- Pediatric Occupational Therapist
- Palm Springs, FL
National Provider Identifier
1407127053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT9147
- Legal business name
- KIMBERLY RASOR
- Practice address
- 2112 S Congress Ave
Palm Springs, FL 33406-7670 - Phone
- (561) 254-4568
- Fax
- (561) 357-7983
- NPI assigned
- Jan 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly Rasor, OTR/L
- Title
- Owner
- Phone
- (561) 254-4568
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT9147 | FL | Primary |
Addresses
Primary practice location
2112 S Congress Ave
Palm Springs, FL 33406-7670
Mailing address
4702 Veteran Ter
Lake Worth, FL 33463-8197
Phone (561) 254-4568
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004222800 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Palm Springs, FL
- NPI 1447449251
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607904000000",
"number": "1407127053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4702 VETERAN TER",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334638197",
"telephone_number": "561-254-4568",
"fax_number": "561-357-7983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 S CONGRESS AVE",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334067670",
"telephone_number": "561-254-4568",
"fax_number": "561-357-7983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIMBERLY RASOR",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-12",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A",
"authorized_official_last_name": "RASOR",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-254-4568",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT9147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004222800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.