Active NPIIndividual provider

Alexis Kimmelman

Occupational Therapist in Pembroke, Massachusetts

NPI Number1689114548
Practice location
42 Winter St Ste 25, Pembroke, MA 02359-4958
Fax
—
Last updated
January 2, 2020

Alexis Kimmelman is an Occupational Therapist based in Pembroke, MA. Alexis Kimmelman practices in Pembroke, MA. The NPI Number for Alexis Kimmelman is 1689114548 and holds a License No. OT010001285 (DC). The current practice location address for Alexis Kimmelman is 42 Winter St Ste 25, Pembroke, MA 02359-4958 and can be reached out via phone at 781-335-6663.

Provider Profile Details

NPI Number
1689114548
Provider Name
Alexis Kimmelman
Provider Entity Type
Individual
Gender
Female
Address
42 Winter St Ste 25, Pembroke, MA 02359-4958
Phone Number
781-335-6663
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
February 26, 2017
Last Update Date
January 2, 2020
Certification Date
January 2, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
42 Winter St Ste 25
Pembroke, MA 02359-4958
Zip
02359-4958
Phone Number
781-335-6663
Pembroke, MA 02359Get directions →

Provider Business Mailing Address Details

Address
42 Winter St Ste 25
Pembroke, MA 02359-4958
City
Pembroke
State
MA
Zip
02359-4958
Phone Number
781-335-6663

License Information

License Number (1)
OT010001285
License State (1)
DC
Taxonomy (1)
Occupational Therapist · 225X00000X
License Number (2)
13418
License State (2)
MA
Taxonomy (2)
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alexis Kimmelman?

The NPI number of Alexis Kimmelman is 1689114548. It was assigned on February 26, 2017 and is currently active in the NPPES registry.

What is the specialty of Alexis Kimmelman?

Alexis Kimmelman is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in DC under license number OT010001285.

Where does Alexis Kimmelman practice?

The practice location is 42 Winter St Ste 25, Pembroke, MA 02359-4958. The office can be reached at 781-335-6663 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689114548 directly on the NPPES registry website.

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