Kimberly Dianne Zeidenstein, MHA, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

000979 Issued in OH

Practice address

4780 Kirk Rd
Austintown, OH 44515-5403

Phone

(330) 792-7681

NPI assigned

Jul 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in OH

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Indiana University School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aegis Group Practice LLC

  • Physical Therapist
  • Mansfield, OH
  • NPI 1093389751

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Columbus, OH
  • NPI 1194390419

  Occupational Therapist

  NPD
• JH Therapy Services

  • Occupational Therapist
  • Cincinnati, OH
  • NPI 1013732122
  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030

  Occupational Therapist

  NPD
• JH Therapy Services

  • Occupational Therapist
  • Lapeer, MI
  • NPI 1104618180
  NPD

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

{
    "created_epoch": "1183766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689872996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7394 E HUNTINGTON DR",
            "address_2": "UNIT A",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445128034",
            "telephone_number": "330-726-5475",
            "fax_number": "330-726-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 KIRK RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445155403",
            "telephone_number": "330-792-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIDENSTEIN",
        "first_name": "KIMBERLY",
        "middle_name": "DIANNE",
        "credential": "MHA, OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "000979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Edward Young
• Youngstown Committee on Alcoholism (Neil Kennedy Recovery Centers)
• Youngstown Home Care Services, LLC (Ohio's Choice Home Health)
• Youngstown Ohio Outpatient Services Company LLC
• Lovie Elizabeth Zago, RN
• Michael David Zenn
• Melissa Zitkovic
• Alexandra Marie Zubyk, OTR/L

• Occupational Therapist in Austintown, OH
• Providers in Austintown, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.