Individual provider Active NPI

Kimberly Levenkron

  • Occupational Therapist
  • Feasterville Trevose, PA
National Provider Identifier
1609298918
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC004015L Issued in PA
Practice address
1665 Bustleton Pike
Ste C
Feasterville Trevose, PA 19053-7340
Phone
(215) 355-5051
Fax
(215) 942-6540
NPI assigned
Jan 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC004015L PA Primary

Addresses

Primary practice location

1665 Bustleton Pike
Ste C
Feasterville Trevose, PA 19053-7340

Mailing address

1665 Bustleton Pike
Ste C
Feasterville Trevose, PA 19053-7340
Phone (215) 355-5051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816001494 IL Practitioner - Occupational Therapist in Private Practice 8325586746 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC004015LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Jul 2, 2024 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Jul 2, 2024 Accepting new patients

Locations

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1609298918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 BUSTLETON PIKE",
            "address_2": "STE C",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190537340",
            "telephone_number": "215-355-5051",
            "fax_number": "215-942-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 BUSTLETON PIKE",
            "address_2": "STE C",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190537340",
            "telephone_number": "215-355-5051",
            "fax_number": "215-942-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENKRON",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC004015L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.