Individual provider Active NPI

Kimberly Hicks, OTRL

  • Occupational Therapist
  • Torrance, CA
National Provider Identifier
1861644783
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9639 Issued in CA
Practice address
23456 Hawthorne Blvd
Suite 300B
Torrance, CA 90505-4716
Phone
(310) 540-7381
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 9639 CA Primary

Addresses

Primary practice location

23456 Hawthorne Blvd
Suite 300B
Torrance, CA 90505-4716

Mailing address

23456 Hawthorne Blvd
Suite 300B
Torrance, CA 90505-4716
Phone (310) 540-7381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130627000459 CA Practitioner - Occupational Therapist in Private Practice 6901045798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

5215 Torrance Blvd
Torrance, CA 90503-4009
Phone (310) 316-6190

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 1, 2023 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 1, 2023 Accepting new patients
Wavefit Physical Therapy, Inc PastSince Jul 1, 2010 Accepting new patients

Locations

2200 E Maple Ave
El Segundo, CA 90245
Phone (310) 316-6190

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

5215 Torrance Blvd
Ste 100
Torrance, CA 90503

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

5215 Torrance Blvd
Ste 210
Torrance, CA 90503
Phone (310) 316-6190

5215 Torrance Blvd
Torrance, CA 90503
Phone (310) 316-6190

Interoperability endpoints

  • Direct secure messaging: kimberly.hicksotr.p1@direct.bpasten.nextgenshare.com

Organizations & group practices 3

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": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1861644783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23456 HAWTHORNE BLVD",
            "address_2": "SUITE 300B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054716",
            "telephone_number": "310-540-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23456 HAWTHORNE BLVD",
            "address_2": "SUITE 300B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054716",
            "telephone_number": "310-540-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "KIMBERLY",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "9639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.