Kimberly R Charette, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

TR00175900 Issued in NJ

Practice address

166 Patterson Ave
Ste B
Shrewsbury, NJ 07702-4176

Phone

(732) 842-6600

NPI assigned

Aug 23, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1477987600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MONMOUTH AVE",
            "city": "BRADLEY BEACH",
            "state": "NJ",
            "postal_code": "077201149",
            "telephone_number": "848-469-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 PATTERSON AVE",
            "address_2": "STE B",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024176",
            "telephone_number": "732-842-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARETTE",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "TR00175900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justyna M Cerefin, PA-C
• Champion Health, LLC
• Jennifer Champion
• Jennifer Lynne Chaney, M.S.W LCSW
• Eun Hae Chang, MD
• Charles M. Cummins, OD, PA
• Andrew T Chen, MD
• Mugurel S Cherciu, M.D.
• Suman Cherian
• Christian Bellissimo, MSW,LCSW, RPT, LLC

• Pediatric Occupational Therapist in Shrewsbury, NJ
• Providers in Shrewsbury, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.