Kimberly Kay Philbrick, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

8511 Issued in NC

Practice address

3209 Alder CT
Tega Cay, SC 29708-8615

Phone

(407) 484-5504

NPI assigned

Apr 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1770545162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 ALDER CT",
            "city": "TEGA CAY",
            "state": "SC",
            "postal_code": "297088615",
            "telephone_number": "407-484-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 ALDER CT",
            "city": "TEGA CAY",
            "state": "SC",
            "postal_code": "297088615",
            "telephone_number": "407-484-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILBRICK",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT8473",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "8511",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "3974",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884295700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Patrick Orr, DC
• Kristen Packard
• Samir Dilip Patel, D.M.D.
• Marcia Marie Patete
• Jenny Petrenko, PTA
• Faith Plemmons, COTA/L
• Pamela Pompey
• Shannon Powers-Jones, RD, LDN
• Alexis Reale, LCMHCA
• Melissa Marie Reinking, MSPT

• All providers in Tega Cay, SC
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.