Kimberly T Rosberg

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OH3316982 Issued in OH

Practice address

47160 Hollstein Dr
Amherst, OH 44001-3338

Phone

(440) 984-3470

NPI assigned

Sep 5, 2018

Last updated

Sep 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kimberly T Rosberg Professional name

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1770065831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 STONEGATE CIR",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440398955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47160 HOLLSTEIN DR",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440013338",
            "telephone_number": "440-984-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSBERG",
        "first_name": "KIMBERLY",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OH3316982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OH3316982",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ROSBERG",
            "middle_name": "T",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.