Kimberly Nicole Tanish, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC011101 Issued in PA

Practice address

200 Pauline Dr
York, PA 17402-4625

Phone

(717) 741-0824

NPI assigned

Mar 29, 2010

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

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• At-Home Rehab & Wellness LLC

  • Physical Therapist
  • Mechanicsburg, PA
  • NPI 1073147773

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1508181934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455A BUTTONWOOD LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174069060",
            "telephone_number": "814-659-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PAULINE DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024625",
            "telephone_number": "717-741-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANISH",
        "first_name": "KIMBERLY",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC011101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacey Tamale
• Tamarkin Eye Associates
• Terri Louise Tamecki
• Samvit Tandan, M.D., PH.D.
• Michael Robert Tangert, P.T.
• Umair Tariq, MD
• Anthony Michael Tartamosa, DC
• Brooke Tassie
• Rahat Taswir, MD
• Creston M Tate, DO

• Occupational Therapist in York, PA
• Providers in York, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.