Individual provider Active NPI

Kimberly Learned, COTA/L

  • Occupational Therapy Assistant
  • Northfield, IL
National Provider Identifier
1760899215
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
057001767 Issued in IL
Practice address
550 W Frontage Rd
Suite 2415
Northfield, IL 60093-1202
Phone
(877) 787-3422
NPI assigned
Jul 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 057001767 IL Primary

Addresses

Primary practice location

550 W Frontage Rd
Suite 2415
Northfield, IL 60093-1202

Mailing address

550 W Frontage Rd
Suite 2415
Northfield, IL 60093-1202
Phone (877) 787-3422

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
057001767ILMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1760899215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W FRONTAGE RD",
            "address_2": "SUITE 2415",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931202",
            "telephone_number": "877-787-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W FRONTAGE RD",
            "address_2": "SUITE 2415",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931202",
            "telephone_number": "877-787-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARNED",
        "first_name": "KIMBERLY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057001767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.