Active NPI
Kimberly Denise Williams Scott, OTR/L
- Physical Rehabilitation Occupational Therapist
- Waldorf, MD
National Provider Identifier
1932577657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 06893
- Practice address
- 3 Post Office Rd Ste 105
Waldorf, MD 20602-2756 - Phone
- (301) 893-2345
- NPI assigned
- Sep 11, 2015
- Last updated
- Sep 2, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 06893 | MD | Primary |
Addresses
Primary practice location
3 Post Office Rd Ste 105
Waldorf, MD 20602-2756
Mailing address
3010 Nightside Dr
Upper Marlboro, MD 20774-9309
Phone (443) 481-0021
Other practice location 1
4175 N Hanson Ct
Suite 301
Bowie, MD 20716-3179
Phone (301) 805-7004
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1932577657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 NIGHTSIDE DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207749309",
"telephone_number": "443-481-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 POST OFFICE RD STE 105",
"city": "WALDORF",
"state": "MD",
"postal_code": "206022756",
"telephone_number": "301-893-2345"
}
],
"practiceLocations": [
{
"address_1": "4175 N Hanson Ct",
"address_2": "Suite 301",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207163179",
"country_code": "US",
"telephone_number": "301-805-7004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "KIMBERLY",
"middle_name": "DENISE WILLIAMS",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-11",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "MD",
"license": "06893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.