Kimberly Ann Freborg, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-2411 Issued in OH

Practice address

400 Austin Ave NW
Massillon, OH 44646-3554

Phone

(330) 837-7240

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kimberly Ann Geigner Former 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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811105604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 PINE PT",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246012",
            "telephone_number": "330-650-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AUSTIN AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463554",
            "telephone_number": "330-837-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREBORG",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT-2411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AOTCB CERTIFICATION",
            "identifier": "002413",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OT-2411",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "GEIGNER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Frank
• Susan L Frank, RN
• Franklin Milos Frazier
• Sandra Diane Frazier, RN
• Tara Frazier
• Richard L Fuller, D.O.
• Olivia Funk
• Sarah Beth Funk, M.D.
• Shabbir T Garbadawala, MD
• Marcy Sue Garrott, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.