Kimberly O'Connor, PTA

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3714 Issued in MA

Practice address

698 Johanne PL Apt a
Colorado Springs, CO 80906-6425

Phone

(719) 576-3622

NPI assigned

Oct 10, 2007

Last updated

Oct 10, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1669660098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 JOHANNE PL APT A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809066425",
            "telephone_number": "719-576-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 JOHANNE PL APT A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809066425",
            "telephone_number": "719-576-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "KIMBERLY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "3714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aline O'Bryant
• Jennie Kathleen O'Connell, MS, OTR
• Lawrence P. O'Connell, MD
• Mary O'Connell, PT, DPT
• Cristen K O'Connor, MA, LPC, CAC III
• Laura O'Connor
• Marisa B O'Connor
• Sarah O'Connor
• Lane O'Dea, DC
• Kevin O'Dell

• Skilled Nursing Facility in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.