Kristine Jimenez, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

46TA09152200 Issued in NJ

Practice address

44 Park St
Bloomfield, NJ 07003-2575

Phone

(973) 685-2335

NPI assigned

Jun 13, 2018

Sex

Female

Sole proprietor

No

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

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.

• Holsman Physical Therapy and Wellness PC

  • Physical Therapist
  • Bloomfield, NJ
  • NPI 1194284653
  NPD (past)
• Holsman Physical Therapy and Wellness PC

  • Geriatric Physical Therapist
  • Cedar Grove, NJ
  • NPI 1578816179
  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1922591932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MILL ST UNIT H3",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071095306",
            "telephone_number": "973-759-1494",
            "fax_number": "973-759-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 PARK ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032575",
            "telephone_number": "973-685-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "KRISTINE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09152200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey D Haimson DMD
• Frances Jersie, LPC
• Tiffany R Jetter-Mace, M.A., BCBA
• JG Optical Inc.
• Frederic Jimenez, ATC, CSCS, USAW
• JLF Counseling, LLC
• JMP, LLC
• Shirley Joanis, MED
• Job Haines Home for Aged People
• John V. Kelly MD, PC

• All providers in Bloomfield, NJ
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.