Individual provider Active NPI

Kimberly Nichole Albala, OTR/L

  • Occupational Therapist
  • Norfolk, VA
National Provider Identifier
1417360710
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119006371 Issued in VA
Practice address
249 S Newtown Rd
Norfolk, VA 23502-5718
Phone
(606) 226-9756
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119006371 VA Primary

Addresses

Primary practice location

249 S Newtown Rd
Norfolk, VA 23502-5718

Mailing address

249 S Newtown Rd
Norfolk, VA 23502-5718
Phone (606) 226-9756

Other names 1

  • Kimberly Nichole Albala Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119006371VAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1417360710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 S NEWTOWN RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235025718",
            "telephone_number": "606-226-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 S NEWTOWN RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235025718",
            "telephone_number": "606-226-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBALA",
        "first_name": "KIMBERLY",
        "middle_name": "NICHOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119006371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ALBALA",
            "middle_name": "NICHOLE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.