Active NPI
Kimberly Marie Flint, OTR/L
- Occupational Therapist
- Lady Lake, FL
National Provider Identifier
1659698546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3568
- Practice address
- 911 Chula CT
Lady Lake, FL 32159-3042 - Phone
- (203) 530-0959
- NPI assigned
- Apr 30, 2010
- Last updated
- Apr 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 3568 | SC | Primary |
Addresses
Primary practice location
911 Chula CT
Lady Lake, FL 32159-3042
Mailing address
911 Chula CT
Lady Lake, FL 32159-3042
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3568 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272585600000",
"number": "1659698546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 CHULA CT",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321593042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 CHULA CT",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321593042",
"telephone_number": "203-530-0959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLINT",
"first_name": "KIMBERLY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-30",
"last_updated": "2010-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "3568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lady Lake, FL
- Barbara Fieldman, RD,LDN, CDE
- Jera Figueras
- Stephen Edward Fischer, M.D.
- Fit for Life Physical Therapy, Inc
- FL Rehab Services LLC (Florida Rehabilitation Specialists)
- Cheryl Flores, MS, CCC-SLP/L
- Florida Cancer Specialists & Research Institute, LLC (Florida Cancer Specialists)
- Florida Cancer Specialists P L
- Florida Cancer Specialists P L
- Florida Health Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.