Active NPI
Kamela Timm, MOT, OTR/L
- Occupational Therapist
- Bismarck, ND
National Provider Identifier
1548713753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1499
- Practice address
- 4501 Coleman St
Bismarck, ND 58503-0995 - Phone
- (701) 751-6336
- Fax
- (701) 751-6337
- NPI assigned
- Jul 25, 2016
- 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 | 1499 | ND | Primary |
Addresses
Primary practice location
4501 Coleman St
Bismarck, ND 58503-0995
Mailing address
2026 Marian Dr
Bismarck, ND 58501-1586
Other names 1
- Kamela Kelsch
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1548713753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2026 MARIAN DR",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585011586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 COLEMAN ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030995",
"telephone_number": "701-751-6336",
"fax_number": "701-751-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMM",
"first_name": "KAMELA",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-25",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "1499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAMELA",
"last_name": "KELSCH",
"credential": "MOT, OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.