Individual provider Active NPI

Kimberly Denise Williams Scott, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Waldorf, MD
National Provider Identifier
1932577657
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
06893 Issued in MD
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.