Active NPI
Kimberly Evans, OTR/L
- Occupational Therapist
- Beverly, MA
National Provider Identifier
1982325106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14107
- Practice address
- 500 Cummings Ctr Ste 3850
Beverly, MA 01915-6509 - Phone
- (978) 232-0332
- NPI assigned
- Sep 6, 2022
- Last updated
- Sep 6, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14107 | MA | Primary |
Addresses
Primary practice location
500 Cummings Ctr Ste 3850
Beverly, MA 01915-6509
Mailing address
30 Rich St Apt 20
Malden, MA 02148-7844
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 |
|---|---|---|---|
| 14107 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1982325106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 RICH ST APT 20",
"city": "MALDEN",
"state": "MA",
"postal_code": "021487844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CUMMINGS CTR STE 3850",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156509",
"telephone_number": "978-232-0332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "KIMBERLY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "14107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.