Alicia Kotheimer Edmiston, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

KY-R5700 Issued in KY

Practice address

4121 Shelbyville Rd
Suite 7
Louisville, KY 40207-3205

Phone

(502) 893-1380

NPI assigned

Mar 5, 2015

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)

Enrolled

Credentials

Master of Science

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.

• Home of the Innocents

  • Pediatric Skilled Nursing Facility
  • Louisville, KY
  • NPI 1780639690

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1922491679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DAISY LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431402",
            "telephone_number": "502-693-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 SHELBYVILLE RD",
            "address_2": "SUITE 7",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073205",
            "telephone_number": "502-893-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMISTON",
        "first_name": "ALICIA",
        "middle_name": "KOTHEIMER",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "KY-R5700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edith & Henry Heuser Hearing Institute
• Christina Edlin
• Gary Edlin, DVM
• Stephen A Edling, M.D.
• Julianna Edman, MS, RD, LD
• Angela Edmonds, RPH, PHARM D
• Jonathan J Edmonds, RPH
• Lori L Edmonds, ARNP
• Bonita Edmondson, LCSW
• Onome Magdaline Edoja

• Occupational Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.