Kimberly Dewey

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31003680A Issued in IN

Practice address

8400 Clearvista PL
Indianapolis, IN 46256-3700

Phone

(317) 845-0464

NPI assigned

Oct 28, 2022

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 1

Other names 1

• Kimberly Stewart Former name

Electronic endpoints 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": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1821705989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10517 BARTLEY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368377",
            "telephone_number": "317-556-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 CLEARVISTA PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563700",
            "telephone_number": "317-845-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003680A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "31003680A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.selectrehab.com",
            "affiliation": "N",
            "address_1": "8400 Clearvista Pl",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462563700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "STEWART",
            "credential": "MSOTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mallory Marie Dewald
• Dewan Home Care, LLC
• Brittany Dewbrew-Hale, LCSW
• Jeffrey Neal Dewester, M.D.
• Alden Dewey, DO
• Jamie K Dewig
• Annette L Dewitt, NP
• John M Dewitt, M.D.
• Victoria Dewitt, FNP-C
• Kenneth Green Dexter, DO

• Occupational Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.