Active NPI
Kimberly Renee Connolley, COTA/L
- Occupational Therapy Assistant
- Norman, OK
National Provider Identifier
1841090974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2698
- Practice address
- 1012 24TH Ave NW
Norman, OK 73069-6490 - Phone
- (405) 601-4303
- NPI assigned
- Mar 17, 2025
- 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 Therapy Assistant | 224Z00000X | 2698 | OK | Primary |
Addresses
Primary practice location
1012 24TH Ave NW
Norman, OK 73069-6490
Mailing address
6501 SE 163Rd CT
Oklahoma City, OK 73165-1603
Phone (405) 343-7282
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quest Pediatric Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- Oklahoma City, OK
- NPI 1417335225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1841090974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 SE 163RD CT",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731651603",
"telephone_number": "405-343-7282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 24TH AVE NW",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696490",
"telephone_number": "405-601-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLEY",
"first_name": "KIMBERLY",
"middle_name": "RENEE",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-17",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OK",
"license": "2698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.