Active NPI
Kimberly A Christensen, OTR/L
- Occupational Therapist
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056-006910
- Practice address
- 510 Valley View Dr
Moline, IL 61265-6133 - Phone
- (309) 797-0866
- NPI assigned
- Jun 9, 2006
- 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 | IA | ||
| Occupational Therapist | 225X00000X | 056-006910 | IL | Primary |
Addresses
Primary practice location
510 Valley View Dr
Moline, IL 61265-6133
Mailing address
850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070
Other practice location 1
6101 Northwest Blvd
Davenport, IA 52806-1861
Phone (563) 449-7004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056-006910 | Other | IL | ILLINOIS PT LICENSE NUMBE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070315000380 | IL | Practitioner - Occupational Therapist in Private Practice | 0648373431 | Reassigns benefits to 2 organizations |
| I20091105000286 | IA | Practitioner - Occupational Therapist in Private Practice | 0648373431 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rock Valley Physical Therapy Center
Practice addresses (Care Compare)
4451 E 53Rd St
Suite 200
Davenport, IA 52807-3142
Phone (563) 362-0016
850 43Rd Ave
Suite 100
Moline, IL 61265-8401
902 Illini Dr
Silvis, IL 61282-4700
Phone (309) 796-3450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056-006910 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rock Valley Physical Therapy Center | Occupational Therapist | Current | Accepting new patients |
| Rock Valley Physical Therapy Center | Occupational Therapist | Current | Accepting new patients |
| Ora Orthopedics, PC | Past | Accepting new patients |
Locations
3385 Dexter Ct
Ste 203
Davenport, IA 52807
Phone (563) 332-9312
850 43rd Ave
Ste 200
Moline, IL 61265
Phone (309) 743-0300
520 Valley View Dr
Moline, IL 61265
Phone (309) 762-1952
850 43rd Ave
Ste 300
Moline, IL 61265
Phone (309) 743-0300
850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070
902 Illini Dr
Silvis, IL 61282
Phone (309) 796-3450
Organizations & group practices 7
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.
-
- Physical Therapist
- Moline, IL
- NPI 1245373166
IA, IL, Occupational Therapist
-
- Occupational Therapist
- Eldridge, IA
- NPI 1881540490
-
- Occupational Therapist
- Geneseo, IL
- NPI 1972261535
-
- Physical Therapist
- Clinton, IA
- NPI 1366724874
-
- Physical Therapist
- West Des Moines, IA
- NPI 1790828457
-
- Orthopaedic Surgery Physician
- Durant, IA
- NPI 1639159700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1972544906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 43RD AVE STE 100",
"city": "MOLINE",
"state": "IL",
"postal_code": "612658401",
"telephone_number": "309-743-2070",
"fax_number": "309-743-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 VALLEY VIEW DR",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656133",
"telephone_number": "309-797-0866"
}
],
"practiceLocations": [
{
"address_1": "6101 Northwest Blvd",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "528061861",
"country_code": "US",
"telephone_number": "563-449-7004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "KIMBERLY",
"middle_name": "A",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056-006910",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS PT LICENSE NUMBE",
"identifier": "056-006910",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.