Active NPI
Kimberly Zorokong
- Occupational Therapist
- Tewksbury, MA
National Provider Identifier
1770243669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 2000 Emerald CT
Tewksbury, MA 01876-5220 - Phone
- (978) 216-4604
- NPI assigned
- Dec 20, 2021
- Last updated
- Dec 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
2000 Emerald CT
Tewksbury, MA 01876-5220
Mailing address
71 Holbrook Ave
Lowell, MA 01852-2011
Other names 1
- Kimberly Bauer
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Lifelongrehab.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1770243669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 HOLBROOK AVE",
"city": "LOWELL",
"state": "MA",
"postal_code": "018522011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 EMERALD CT",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018765220",
"telephone_number": "978-216-4604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOROKONG",
"first_name": "KIMBERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-20",
"last_updated": "2021-12-20",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Lifelongrehab.com",
"affiliation": "N",
"address_1": "2000 Emerald Ct",
"city": "Tewksbury",
"state": "MA",
"country_code": "US",
"postal_code": "018765220",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "BAUER",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tewksbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.