Active NPI
Kimberly White Rasor, OTR/L
- Pediatric Occupational Therapist
- Palm Springs, FL
National Provider Identifier
1447449251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT9147
- Practice address
- 2112 S Congress Ave
Palm Springs, FL 33406-7670 - Phone
- (561) 254-4568
- NPI assigned
- Oct 17, 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT9147 | FL | Primary |
Addresses
Primary practice location
2112 S Congress Ave
Palm Springs, FL 33406-7670
Mailing address
4702 Veteran Terr
Lake Worth, FL 33463-8550
Phone (561) 254-4568
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891484200 | Medicaid | FL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT9147 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly Rasor | Pediatrics | Current | Accepting new patients |
Locations
2112 S Congress Ave
Palm Springs, FL 33406
Phone (561) 254-4568
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1447449251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4702 VETERAN TERR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334638550",
"telephone_number": "561-254-4568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 S CONGRESS AVE",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334067670",
"telephone_number": "561-254-4568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASOR",
"first_name": "KIMBERLY",
"middle_name": "WHITE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-17",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT9147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891484200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.