Individual provider Active NPI

Kimberly J Kapanek, OTR/L

  • Occupational Therapist
  • Los Angeles, CA
National Provider Identifier
1821264631
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 7883 Issued in CA
Practice address
1111 W 6TH St Ste 111
Los Angeles, CA 90017-1823
Phone
(213) 607-4400
Fax
(213) 250-7245
NPI assigned
May 1, 2008
Last updated
Mar 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 7883 CA Primary

Addresses

Primary practice location

1111 W 6TH St Ste 111
Los Angeles, CA 90017-1823

Mailing address

625 Fair Oaks Ave Ste 200
South Pasadena, CA 91030-2694
Phone (323) 341-5580

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT 7883CAMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1821264631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 FAIR OAKS AVE STE 200",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302694",
            "telephone_number": "323-341-5580",
            "fax_number": "323-341-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 6TH ST STE 111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171823",
            "telephone_number": "213-607-4400",
            "fax_number": "213-250-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPANEK",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 7883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.