Kim McKinney, OT/PT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT 9943 Issued in FL

Practice address

601 S Tree Garden Dr
St Augustine, FL 32086-5234

Phone

(904) 669-4285

NPI assigned

Jul 15, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sunshine Pediatric Therapy, LLC

  • Pediatric Occupational Therapist
  • St Augustine, FL
  • NPI 1265862411

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1851732218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S TREE GARDEN DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865234",
            "telephone_number": "904-669-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S TREE GARDEN DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865234",
            "telephone_number": "904-669-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "KIM",
        "credential": "OT/PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT 20437",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 9943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia McKenzie, M.S. CCC-SLP
• Mark Daniel McKenzie
• Thomas Edward McKenzie, D.O.
• Hailey Wilson McKinley, DDS, MSD
• Joseph Matthew McKinley, M.D.
• McLellan Dental Inc.
• Barbara Agnes McLellan, D.D.S.
• Matthew McLellan, DMD
• Sandra McLeod-Batton, RN
• Robert Michael McMahon, RPH

• Pediatric Occupational Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.