Active NPI
Kimberly J Guidotti
- Occupational Therapist
- Bradenton, FL
National Provider Identifier
1487115754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT19786
- Practice address
- 3823 E State Road 64
Bradenton, FL 34208-9041 - Phone
- (941) 745-5111
- NPI assigned
- Mar 28, 2019
- 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 | OT19786 | FL | Primary |
Addresses
Primary practice location
3823 E State Road 64
Bradenton, FL 34208-9041
Mailing address
3823 E State Road 64
Bradenton, FL 34208-9041
Phone (941) 745-5111
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 |
|---|---|---|---|
| OT19786 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Therapy Solutions Inc | Occupational Therapist | Past | Accepting new patients |
| Independent Living Inc. | Occupational Therapist | Past | Accepting new patients |
| Children'S Therapy Solutions Inc. | Occupational Therapist | Past | Accepting new patients |
| Independent Living Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
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- Tampa, FL
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1487115754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3823 E STATE ROAD 64",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342089041",
"telephone_number": "941-745-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3823 E STATE ROAD 64",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342089041",
"telephone_number": "941-745-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDOTTI",
"first_name": "KIMBERLY",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT19786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.