Active NPI
Kimberly Nicole Stokes, MOT, OTR/L
- Occupational Therapist
- Canton, OH
National Provider Identifier
1902952237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31004291A
- Practice address
- 1218 Bellflower Ave SW
Canton, OH 44710-2016 - Phone
- (734) 972-3943
- NPI assigned
- Jan 27, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 31004291A | IN | Primary |
| Occupational Therapist | 225X00000X | 05810 | MD |
Addresses
Primary practice location
1218 Bellflower Ave SW
Canton, OH 44710-2016
Mailing address
1218 Bellflower Ave SW
Canton, OH 44710-2016
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31004291A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1902952237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 BELLFLOWER AVE SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447102016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 BELLFLOWER AVE SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447102016",
"telephone_number": "734-972-3943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOKES",
"first_name": "KIMBERLY",
"middle_name": "NICOLE",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-27",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31004291A",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "05810",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.