Active NPI
Kimberly A Lovelace, OT
- Occupational Therapist
- Bradenton, FL
National Provider Identifier
1659360410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT9042
- Practice address
- 3637 Cortez Rd W
Ste 103
Bradenton, FL 34210-3106 - Phone
- (941) 739-7828
- Fax
- (941) 739-7838
- NPI assigned
- Oct 14, 2005
- 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 | OT9042 | FL | Primary |
Addresses
Primary practice location
3637 Cortez Rd W
Ste 103
Bradenton, FL 34210-3106
Mailing address
3637 Cortez Rd W
Ste 103
Bradenton, FL 34210-3106
Phone (941) 739-7828
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y909J | Other | FL | BCBS PROVDER |
| 2288818 | Other | FL | AETNA |
| DA6508 | Other | FL | RR MCR PROVIDER |
| P00066542 | Other | FL | RR MCR PROVIDER |
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": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1659360410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3637 CORTEZ RD W",
"address_2": "STE 103",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342103106",
"telephone_number": "941-739-7828",
"fax_number": "941-739-7838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3637 CORTEZ RD W",
"address_2": "STE 103",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342103106",
"telephone_number": "941-739-7828",
"fax_number": "941-739-7838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELACE",
"first_name": "KIMBERLY",
"middle_name": "A",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-14",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT9042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVDER",
"identifier": "Y909J",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2288818",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR PROVIDER",
"identifier": "DA6508",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR PROVIDER",
"identifier": "P00066542",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.