Active NPI
Kimberly Ann O'Neill, O.T.
- Occupational Therapist
- Gainesville, FL
National Provider Identifier
1447380274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11312
- Practice address
- 4343 W Newberry Rd
Suite 4
Gainesville, FL 32607-2817 - Phone
- (352) 373-6565
- Fax
- (352) 373-6112
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 11312 | FL | Primary |
Addresses
Primary practice location
4343 W Newberry Rd
Suite 4
Gainesville, FL 32607-2817
Mailing address
PO Box 357279
Gainesville, FL 32635-7279
Phone (352) 373-6565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5579070006 | Other | FL | NSC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11312 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand Rehabilitation Services | Past | Accepting new patients | |
| Hand Rehabilitation Services | Occupational Therapist | Past | Accepting new patients |
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.
-
- Hand Occupational Therapist
- Bradenton, FL
- NPI 1205874278
-
- Durable Medical Equipment & Medical Supplies
- Bradenton, FL
- NPI 1366656951
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1447380274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 357279",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326357279",
"telephone_number": "352-373-6565",
"fax_number": "352-373-6112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 W NEWBERRY RD",
"address_2": "SUITE 4",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072817",
"telephone_number": "352-373-6565",
"fax_number": "352-373-6112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "11312",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSC",
"identifier": "5579070006",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.