Kimberly Witkowski, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

9956 Issued in MA

Practice address

1 Pearl St Ste 1700
Brockton, MA 02301-2865

Phone

(508) 427-0525

Fax

(774) 223-5017

NPI assigned

Sep 17, 2009

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 MA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lifespan Physician Group of Massachusetts Inc

  • Family Medicine Physician
  • Taunton, MA
  • NPI 1235957713

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Orthopedic Care Physician Network, LLC

  • Orthopaedic Surgery Physician
  • North Easton, MA
  • NPI 1508121070
  Medicare reassignment NPD
• Plymouth Bay Orthopedic Associates Inc.

  • Occupational Therapist
  • Duxbury, MA
  • NPI 1881603868
  Medicare reassignment NPD
• South Shore Orthopedics LLC

  • Orthopaedic Surgery Physician
  • Hingham, MA
  • NPI 1720285018
  Medicare reassignment NPD
• Bay State Physical Therapy of Randolph Inc

  • Physical Therapist
  • Fall River, MA
  • NPI 1164474334
  Medicare reassignment
• Steward Medical Group, Inc

  • Internal Medicine Physician
  • Dartmouth, MA
  • NPI 1821349317
  Medicare reassignment
• Orthopedic Care Physician Network LLC

  • Orthopaedic Surgery Physician
  • Mansfield, MA
  • NPI 1457999351
  NPD
• Plymouth Bay Orthopedic Associates Inc.

  • Orthopaedic Surgery Physician
  • Duxbury, MA
  • NPI 1548281488
  NPD
• South Shore Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Abington, MA
  • NPI 1629793591
  NPD

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1598098857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CREDIT UNION WAY FL 3",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684633",
            "telephone_number": "781-961-3370",
            "fax_number": "781-961-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PEARL ST STE 1700",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012865",
            "telephone_number": "508-427-0525",
            "fax_number": "774-223-5017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 Faunce Corner Rd",
            "address_purpose": "LOCATION",
            "city": "Dartmouth",
            "state": "MA",
            "postal_code": "027471242",
            "country_code": "US",
            "telephone_number": "508-996-3991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITKOWSKI",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "9956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deirdre Elaine Wise-Brown, M.S.
• Stephen Hebert Wise, OD
• William S Wise, MD
• Kristin E Wisgirda, LIC. AC.
• Donald Leigh Witherell Jr.
• Matthew Dylan Woertz, MD
• Etinosasere Woghiren
• Laurence Steven Wohl, MD
• Rachel Mary Wojnas
• Genny I Wolf, D.O.

• Occupational Therapist in Brockton, MA
• Providers in Brockton, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.

Verify at the official NPI Registry.