Active NPI
Kimberly Anne Kaliszewski, OTR/L
- Occupational Therapist
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- TEMPORARY # 103479
- Practice address
- 4002 London Rd
Duluth, MN 55804-2243 - Phone
- (218) 625-8295
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | TEMPORARY # 103479 | MN | Primary |
Addresses
Primary practice location
4002 London Rd
Duluth, MN 55804-2243
Mailing address
2105 E 1St St
Duluth, MN 55812-1804
Other practice location 1
407 E 3rd St
Duluth, MN 55805-1950
Phone (218) 786-4000
Other names 1
- Kimberly Anne Ambright
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
400 E 3Rd St
Duluth, MN 55805-1951
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEMPORARY # 103479 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients |
Locations
407 E 3rd St
Duluth, MN 55805
Phone (218) 786-4357
420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265
4002 London Rd
Duluth, MN 55804
Phone (218) 525-1951
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Essentia Health Cloquet Clinic
- Multi-Specialty Clinic/Center
- Cloquet, MN
- NPI 1902563638
-
dba Essentia Health Hinckley Pharmacy
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1790988525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 E 1ST ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558121804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4002 LONDON RD",
"city": "DULUTH",
"state": "MN",
"postal_code": "558042243",
"telephone_number": "218-625-8295"
}
],
"practiceLocations": [
{
"address_1": "407 E 3rd St",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558051950",
"country_code": "US",
"telephone_number": "218-786-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KALISZEWSKI",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "TEMPORARY # 103479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "AMBRIGHT",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.