Kimberly Marie Sicheneder, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

118364 Issued in TX

Practice address

1585 3Rd St
Fort Johnson, LA 71459-5102

Phone

(337) 718-7289

NPI assigned

Nov 9, 2008

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kimberly Marie Fowler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1226188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1437303120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14214 JUNIPER BREEZE CT",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773181450",
            "telephone_number": "530-514-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "city": "FORT JOHNSON",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "337-718-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICHENEDER",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-09",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118364",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "3494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "FOWLER",
            "middle_name": "MARIE",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Juan M Rodriguez, LPC
• Charles Alexander Rosado, DO
• William E Rutan, DO
• Rami Sarid, MD
• Jessica Dawn Shuman
• Matthew Slocum, PA-C
• Briana Francina Krieger Thurmond, DO
• Zarana Bhaskarray Trivedi, DO
• Michelle Marie Turkovich, RDH
• Marguerite Wilcox, LCSW

• Occupational Therapist in Fort Johnson, LA
• Providers in Fort Johnson, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.