Active NPI
Kimberly A Sarraillon, OTR/L, OTD
- Occupational Therapist
- Bellevue, NE
National Provider Identifier
1417280371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1424
- Practice address
- 1702 Hillcrest Dr
Bellevue, NE 68005-3652 - Phone
- (402) 291-8500
- NPI assigned
- Sep 10, 2009
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1424 | NE | Primary |
Addresses
Primary practice location
1702 Hillcrest Dr
Bellevue, NE 68005-3652
Mailing address
4455 F St
Omaha, NE 68107-1027
Phone (402) 670-1146
Other names 1
- Ms. Kimberly A Book
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1902 Harlan Dr
Bellevue, NE 68005-6602
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1424 | NE | MD | Physical Therapist |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Bellevue, NE
- NPI 1588179923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1417280371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 F ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681071027",
"telephone_number": "402-670-1146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 HILLCREST DR",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680053652",
"telephone_number": "402-291-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARRAILLON",
"first_name": "KIMBERLY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "OTR/L, OTD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-10",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "BOOK",
"middle_name": "A",
"prefix": "MS.",
"credential": "OTR/L, OTD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.