Active NPI
Kimberly Ann Addon, MOT, OTR/L
- Occupational Therapist
- West Chester, PA
National Provider Identifier
1972135689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024463-01
- Practice address
- 200 Skiles Blvd
West Chester, PA 19382-7321 - Phone
- (800) 578-7906
- NPI assigned
- Feb 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5386 | CT | |
| Occupational Therapist | 225X00000X | 024463-01 | NY | Primary |
Addresses
Primary practice location
200 Skiles Blvd
West Chester, PA 19382-7321
Mailing address
-75 Blue Hill Ave
Fair Lawn, NJ 07410-5503
Phone (201) 815-0076
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5386 | CT | MD | Occupational Therapist |
| 024463-01 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1972135689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "-75 BLUE HILL AVE",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074105503",
"telephone_number": "201-815-0076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SKILES BLVD",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193827321",
"telephone_number": "800-578-7906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDON",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "5386",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024463-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.