Individual provider Active NPI

Mercedes Ellen Kimm, OTR/L

  • Occupational Therapist
  • Garden City, KS
National Provider Identifier
1730011941
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
138422 Issued in IA
Practice address
401 E Spruce St
Garden City, KS 67846-5672
Phone
(620) 272-2222
NPI assigned
Jun 1, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17-04196 KS
Occupational Therapist 225X00000X 138422 IA Primary

Addresses

Primary practice location

401 E Spruce St
Garden City, KS 67846-5672

Mailing address

602 Warrior St Unit B
Garden City, KS 67846-0520
Phone (507) 210-5871

Other practice location 1

309 W Merle Hibbs Blvd
Marshalltown, IA 50158-4694
Phone (641) 752-4553

Other practice location 2

2900 N Campus Dr
Garden City, KS 67846-3997
Phone (620) 765-4446

Other practice location 3

2401 S 2nd St
Marshalltown, IA 50158-4402
Phone (641) 752-1553

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

State licenses

LicenseStateTypeSpecialty
138422IAMDOccupational Therapist
17-04196KSMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1730011941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 WARRIOR ST UNIT B",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678460520",
            "telephone_number": "507-210-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465672",
            "telephone_number": "620-272-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 W Merle Hibbs Blvd",
            "address_purpose": "LOCATION",
            "city": "Marshalltown",
            "state": "IA",
            "postal_code": "501584694",
            "country_code": "US",
            "telephone_number": "641-752-4553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 N Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678463997",
            "country_code": "US",
            "telephone_number": "620-765-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Marshalltown",
            "state": "IA",
            "postal_code": "501584402",
            "country_code": "US",
            "telephone_number": "641-752-1553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMM",
        "first_name": "MERCEDES",
        "middle_name": "ELLEN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-04196",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "138422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.