Kimberly S Jacobson, OTR/L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

100435 Issued in MN

Practice address

555 Railroad Dr NW
Elk River, MN 55330-1444

Phone

(763) 441-8111

Fax

(763) 441-9015

NPI assigned

Mar 14, 2006

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

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730158866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 51ST AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422144",
            "telephone_number": "763-559-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 RAILROAD DR NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301444",
            "telephone_number": "763-441-8111",
            "fax_number": "763-441-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MN",
            "license": "100435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Imig, MS, ATC
• Ind School Dist 728
• Integrated Care Service
• Tiffany Marie Jacobs
• Kylie Hartigan Jacobsen, OD
• Nicole Elizabeth Janovec
• Erika Christine Januschka, OD
• Anton F Jarmoluk, D.D.S.
• Jeffrey Mark Jarmoluk, D.D.S.
• Kristin M Jarmoluk, D.D.S.

• Hand Occupational Therapist in Elk River, MN
• Providers in Elk River, MN by specialty
• Hand Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.