Kimberly Ann Phipps, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1625 Chesapeake LN
Edgewater, MD 21037-4917

Phone

(410) 798-5296

NPI assigned

Dec 16, 2018

Last updated

Dec 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1851862114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 CHESAPEAKE LN",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210374917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 CHESAPEAKE LN",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210374917",
            "telephone_number": "410-798-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Charles Pehle
• Caitlin Perkins
• Peter Phu Phan
• Wendelyn Mary Phelan
• Ana Maria A Phillips, LCSWC
• Stephanie Pierce, RN, MSN
• Pink Heart Health Services & Academy LLC (Cully's Caring Cove)
• Pioneer Medical Center Leading the Way in Healthcare
• Kennon Plummer, M.D.
• Linda Anne Poore, OTR

• Occupational Therapist in Edgewater, MD
• Providers in Edgewater, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.