Active NPI
Kimberly Hodoval, MSOTR/L
- Occupational Therapist
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- .0005802
- Practice address
- 1950 S Dayton St
Aurora, CO 80247-3452 - Phone
- (773) 760-3232
- NPI assigned
- Sep 29, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | |||
| Occupational Therapist | 225X00000X | .0005802 | CO | Primary |
Addresses
Primary practice location
1950 S Dayton St
Aurora, CO 80247-3452
Mailing address
1317 Briarhollow LN
Highlands Ranch, CO 80129-5639
Phone (773) 760-3232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6767 S Broadway
Littleton, CO 80122-8002
Phone (303) 797-9121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| .0005802 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc. | Occupational Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Colorado, LLC | Occupational Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
Locations
4950 Thunderbird Dr
Boulder, CO 80303
Phone (303) 499-4888
5130 W Ken Caryl Ave
Littleton, CO 80128
Phone (303) 973-5115
6767 S Broadway
Littleton, CO 80122
Phone (303) 647-5780
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 5
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.
-
dba Legacy Healthcare
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- NPI 1164620084
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-
- Multi-Specialty Clinic/Center
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- NPI 1063176493
Occupational Therapist
-
- Physical Therapist
- Boulder, CO
- NPI 1376038646
Occupational Therapist
-
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- Independence, MO
- NPI 1871072462
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1477887123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 BRIARHOLLOW LN",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801295639",
"telephone_number": "773-760-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 S DAYTON ST",
"city": "AURORA",
"state": "CO",
"postal_code": "802473452",
"telephone_number": "773-760-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODOVAL",
"first_name": "KIMBERLY",
"name_prefix": "Miss",
"credential": "MSOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-29",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": ".0005802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.