Individual provider Active NPI

Kimberly A Lancaster, OTR/L

  • Occupational Therapist
  • Summerfield, FL
National Provider Identifier
1629213459
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 4267 Issued in FL
Practice address
14031 Del Webb Blvd
Summerfield, FL 34491-7957
Phone
(352) 854-4538
Fax
(866) 651-6041
NPI assigned
Dec 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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 OT 4267 FL Primary

Addresses

Primary practice location

14031 Del Webb Blvd
Summerfield, FL 34491-7957

Mailing address

3910 SW 4TH Ave
Ocala, FL 34471-8425
Phone (352) 216-1911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090330000353 FL Practitioner - Occupational Therapist in Private Practice 2668539008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Therapies Group IncGroup PAC ID 2769549104, 5 clinicians

Practice addresses (Care Compare)

14031 Del Webb Blvd
Summerfield, FL 34491-7957
Phone (352) 433-0091

929 N Hwy 441
Unit 301
Lady Lake, FL 32159-3002
Phone (352) 433-0091

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 4267FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Therapies Group Inc Occupational Therapist CurrentSince Dec 14, 2008 Accepting new patients
Innovative Therapies Group Inc PastSince Sep 15, 2024 Accepting new patients

Locations

2801 SW College Rd
Ste 11
Ocala, FL 34474
Phone (352) 433-0091

14031 Del Webb Blvd
Summerfield, FL 34491
Phone (352) 433-0091

3990 E Sr 44
Ste 202
Wildwood, FL 34785
Phone (352) 433-0091

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": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1629213459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 SW 4TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718425",
            "telephone_number": "352-216-1911",
            "fax_number": "866-651-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14031 DEL WEBB BLVD",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344917957",
            "telephone_number": "352-854-4538",
            "fax_number": "866-651-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 4267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.