Kimberly Vanderklok, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT 14944 Issued in FL

Practice address

5644 Tavilla Cir
Suite 104
Naples, FL 34110-3362

Phone

(239) 514-5010

Fax

(239) 514-5019

NPI assigned

Feb 14, 2012

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

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimized Therapy Transitions LLCGroup PAC ID 6305274812, 10 clinicians

Practice addresses (Care Compare)

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.

• Optimized Therapy Transitions, LLC

  • Occupational Therapist
  • St Petersburg, FL
  • NPI 1891346680
  Medicare reassignment Care Compare group NPD
• First Choice Therapy Center Inc.

  • Speech-Language Pathologist
  • Naples, FL
  • NPI 1255594511
  NPD (past)

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1902179435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5644 TAVILLA CIR",
            "address_2": "SUITE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341103362",
            "telephone_number": "239-514-5010",
            "fax_number": "239-514-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5644 TAVILLA CIR",
            "address_2": "SUITE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341103362",
            "telephone_number": "239-514-5010",
            "fax_number": "239-514-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERKLOK",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 14944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanderbilt Chiropractic Clinic, PA
• Vanderbilt Optical
• Allayna Marie Vanderheid, PA-C
• Jennifer Lynn Vanderheid
• Zoe Lynn Vanderheid, PA
• Kelly Rose Vandeventer
• Mariana Vandivier, LCSW
• Martin Vandongen, APRN
• Vanessa Fulton Consultant LLC
• Vanguard Spine and Pain PLLC

• Pediatric Occupational Therapist in Naples, FL
• Providers in Naples, 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 Feb 14, 2012; 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.