Individual provider Active NPI

Kelli A Himmelreich, OTR/L

  • Occupational Therapist
  • Newton, NJ
National Provider Identifier
1942471560
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00452900 Issued in NJ
Practice address
249 High St
Newton, NJ 07860-9600
Phone
(973) 579-4242
Fax
(973) 383-8372
NPI assigned
Mar 24, 2008
Last updated
Mar 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00452900 NJ Primary

Addresses

Primary practice location

249 High St
Newton, NJ 07860-9600

Mailing address

249 High St
Newton, NJ 07860-9600
Phone (973) 579-4242

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

LicenseStateTypeSpecialty
46TR00452900NJMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1942471560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 HIGH ST",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609600",
            "telephone_number": "973-579-4242",
            "fax_number": "973-383-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 HIGH ST",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609600",
            "telephone_number": "973-579-4242",
            "fax_number": "973-383-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMMELREICH",
        "first_name": "KELLI",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00452900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.