Individual provider Active NPI

Kymora Jones, OTR/L

  • Occupational Therapist
  • Weston, FL
National Provider Identifier
1417340852
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
20884 Issued in FL
Practice address
2800 Weston Rd Ste 100
Weston, FL 33331-3638
Phone
(954) 589-1038
NPI assigned
Mar 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA14263 FL
Occupational Therapist 225X00000X 20884 FL Primary

Addresses

Primary practice location

2800 Weston Rd Ste 100
Weston, FL 33331-3638

Mailing address

451 NW 87TH LN Apt 101
Plantation, FL 33324-6540
Phone (305) 942-0840

Other practice location 1

10261 Pines Blvd
Pembroke Pines, FL 33026-6008
Phone (954) 356-2878

Other practice location 2

7301 N University Dr Ste 301
Tamarac, FL 33321-2936
Phone (954) 752-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200611000675 FL Practitioner - Occupational Therapist in Private Practice 6608297072 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTA14263FLMDOccupational Therapy Assistant
20884FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lymphatx Inc Occupational Therapist CurrentSince Jun 5, 2020 Accepting new patients
Lymphatx Inc CurrentSince Jun 5, 2020 Accepting new patients

Locations

7301 W Palmetto Park Rd
Ste 101C
Boca Raton, FL 33433
Phone (561) 392-5131

7301 N University Dr
Ste 301
Tamarac, FL 33321
Phone (954) 720-4350

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1417340852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 NW 87TH LN APT 101",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333246540",
            "telephone_number": "305-942-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 WESTON RD STE 100",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313638",
            "telephone_number": "954-589-1038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10261 Pines Blvd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330266008",
            "country_code": "US",
            "telephone_number": "954-356-2878",
            "fax_number": "954-241-6726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7301 N University Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333212936",
            "country_code": "US",
            "telephone_number": "954-752-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KYMORA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA14263",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "20884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.