Individual provider Active NPI

Kimberly Bentley Solari, OTR

  • Pediatric Occupational Therapist
  • Lake Charles, LA
National Provider Identifier
1679679690
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OTT.Z10492 Issued in LA
Practice address
3701 Burgoyne Dr
Lake Charles, LA 70605-2607
Phone
(337) 477-7883
Fax
(337) 477-7812
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OTT.Z10492 LA Primary

Addresses

Primary practice location

3701 Burgoyne Dr
Lake Charles, LA 70605-2607

Mailing address

3701 Burgoyne Dr
Lake Charles, LA 70605-2607
Phone (337) 477-7883

Other practice location 1

314 Broad St
ste B
Lake Charles, LA 70601-4224
Phone (337) 491-0800

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

LicenseStateTypeSpecialty
OTT.Z10492LAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Nicholas Center for Early Intervention Past Accepting new patients
St. Nicholas Center for Children Past Accepting new patients

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1679679690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 BURGOYNE DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052607",
            "telephone_number": "337-477-7883",
            "fax_number": "337-477-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 BURGOYNE DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052607",
            "telephone_number": "337-477-7883",
            "fax_number": "337-477-7812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 Broad St",
            "address_2": "ste B",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706014224",
            "country_code": "US",
            "telephone_number": "337-491-0800",
            "fax_number": "337-491-0508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLARI",
        "first_name": "KIMBERLY",
        "middle_name": "BENTLEY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "LA",
            "license": "OTT.Z10492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.