Active NPI
Kimberley Kaye Lawless, OTR/L
- Occupational Therapist
- Council Bluffs, IA
National Provider Identifier
1841502572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 794
- Practice address
- 24 Millard St
Council Bluffs, IA 51503-1775 - Phone
- (402) 305-8334
- NPI assigned
- Jul 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 794 | NE | Primary |
| Occupational Therapist | 225X00000X | 01350 | IA |
Addresses
Primary practice location
24 Millard St
Council Bluffs, IA 51503-1775
Mailing address
24 Millard St
Council Bluffs, IA 51503-1775
Phone (402) 305-8334
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01350 | IA | MD | Physical Therapist |
| 794 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Asl, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
8140 S 97th Plz
La Vista, NE 68128
Phone (402) 597-0700
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278720000000",
"number": "1841502572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 MILLARD ST",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515031775",
"telephone_number": "402-305-8334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 MILLARD ST",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515031775",
"telephone_number": "402-305-8334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWLESS",
"first_name": "KIMBERLEY",
"middle_name": "KAYE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-10",
"last_updated": "2010-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "794",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "01350",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.