Katherine Michelle Kimbrell, OT/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT17979 Issued in FL

Practice address

2040 Highway A1A Ste 203
Indian Harbour Beach, FL 32937-3566

Phone

(321) 773-8989

Fax

(321) 773-8990

NPI assigned

Jun 25, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1982968996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 J COBBER CT",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329049560",
            "telephone_number": "336-816-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 HIGHWAY A1A STE 203",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329373566",
            "telephone_number": "321-773-8989",
            "fax_number": "321-773-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3557 Ramsay St",
            "address_2": "Apt 3G",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272659030",
            "country_code": "US",
            "telephone_number": "321-266-6726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBRELL",
        "first_name": "KATHERINE",
        "middle_name": "MICHELLE",
        "credential": "OT/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT17979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019203600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Kalinyak, LMHC
• Craig Joseph Kara, DMD
• Regina Marie Kaufmann, M.D.
• Kristen Noel Kennerley, A.P.
• Heather Killick, MPT
• Elizabeth Teresa Kondracka, MD
• Monica Kostro, DDS
• Jayna Lacko
• Edward V Laibl, OD
• Timothy Corrigan Lang, DDS, MD, PHD

• Pediatric Occupational Therapist in Indian Harbour Beach, FL
• Providers in Indian Harbour Beach, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.