KIMBERLY M ROSS (NPI# 1174524862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174524862 |
| Entity Type | Individual |
| Full Name | KIMBERLY M ROSS |
| Credential | OTR L,CHT |
| Practice Address |
590 S Wakara Way Salt Lake City UT 84108-1200 |
| Practice Telephone | 8015877001 |
| Practice Fax Number | 8015814110 |
| Mailing Telephone | 8015877001 |
| Mailing Fax Number | 8015814110 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
375157-4201 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | RAILROAD MEDICARE | P00183940 | 01 |
| UT | CIGNA DMERC | 1108540001 | 01 |
| UT | DMBA | 5417 | 01 |
| UT | EDUCATORS MUTUAL | 870388269BR1 | 01 |
| UT | BLUE CROSS BLUE SHIELD | 99375157403001 | 01 |
| UT | CIGNA | 6826064002 | 01 |
| UT | PEHP | 68950 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970277 | Kimberly Gayle Ross | Family Medicine | 1919 Slone Blvd, Melbourne, FL 32935-4756 | 2020-07-28 |
| 1770076200 | Kimberly Sue Ross | Counselor | 2005 Central Ave, Middletown, OH 45044-4403 | 2018-06-09 |
| 1003323106 | Kimberly Elaine Ross | Registered Nurse | 404 W Walnut St, Princeton, IN 47670-1252 | 2018-01-10 |
| 1881116853 | Kimberly Ross | Nutritionist | 2602 Genesee St, Utica, NY 13502-6003 | 2017-07-12 |
| 1407261597 | Kimberly Lyn Ross | Social Worker | 2410 Nettle Ln, Euless, TX 76039-8014 | 2014-06-26 |
| 1316362882 | Kimberly C. Ross | Physical Medicine & Rehabilitation | 2700 Sw 97th Ave, Miami, FL 33165-2675 | 2014-02-20 |
| 1386937555 | Kimberly Ross | Nurse Practitioner | 2504 Nw 5th Ave, Wilton Manors, FL 33311-3017 | 2011-05-22 |
| 1477857969 | Kimberly Anne Ross | Mechanotherapist | 3249 E Ames Lake Dr Ne, Redmond, WA 98053-9142 | 2010-12-27 |
| 1639724230 | Kimberly Ross | Technician | 6135 Lakeside Dr Ste 127, Reno, NV 89511-8505 | 2019-08-09 |
| 1487058483 | Kimberly Dawn Ross | Marriage & Family Therapist | 353 Park Marina Cir, Redding, CA 96001-0965 | 2014-10-20 |
| Street Address |
590 S WAKARA WAY |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558988717 | Logan James Couce | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-07-02 |
| 1457976581 | Abigail Bigham | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-06-15 |
| 1073141768 | Matthew Jiajing Siebert | Student in an Organized Health Care Education/Training Program | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-03-30 |
| 1326676370 | Joshua Paul Rainey | Student in an Organized Health Care Education/Training Program | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-03-27 |
| 1407483886 | Olivia Grothaus | Student in an Organized Health Care Education/Training Program | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-03-25 |
| 1316574775 | Eleanor Hope Sato | Student in an Organized Health Care Education/Training Program | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-03-25 |
| 1922632959 | Alexander John Reese | Pharmacist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-02-28 |
| 1679110548 | Byron C Miller | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2019-12-10 |
| 1851933501 | Gabrielle Lecheminant Grimmer | Physician Assistant | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2019-10-15 |
| 1457905408 | Rebecca Marie Palmer | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2019-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265677520 | Lana Kayleen Keizer | Occupational Therapist | 420 Wakara Way, Suite 105, Salt Lake City, UT 84108-1276 | 2008-12-15 |
| 1558486290 | Rhonda Marsh | Occupational Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295060085 | Ryan Dean Mcgiven | Occupational Therapist | 1992 W Antelope Dr Ste 1d, Layton, UT 84041 | 2009-10-12 |
| 1023298999 | Summit Hand Therapy LLC | Occupational Therapist | 2179 N 1700 W, Suite 5, Layton, UT 84041-1138 | 2007-11-08 |
| 1780603910 | Samuel J Delong | Occupational Therapist | 1992 W Antelope Dr, Suite 1-d, Layton, UT 84041-4953 | 2006-07-19 |
| 1548874969 | Bruce A Piispanen | Occupational Therapist | 150 W 100 N, Vernal, UT 84078-2036 | 2020-09-02 |
| 1831745975 | Summit Hand Therapy | Occupational Therapist | 1992 W Antelope Dr Ste 1d, Layton, UT 84041-4974 | 2019-08-14 |
| 1053965905 | Cache Valley Hand Therapy LLC | Occupational Therapist | 2310 N 400 E Ste D, North Logan, UT 84341-1788 | 2019-07-30 |
| 1114579869 | Brian David Jensen | Occupational Therapist | 1992 W Antelope Dr Ste 1d, Layton, UT 84041-4974 | 2019-07-12 |
| 1538615943 | Jacob Larson | Occupational Therapist | 1992 W Antelope Dr, Suite 1-d, Layton, UT 84041-4953 | 2016-08-27 |
| 1760641823 | Camille Lister | Occupational Therapist | 3845 W 4700 S, Taylorsville, UT 84118-3454 | 2008-06-04 |
| 1174738843 | Kathrine M Detemple | Occupational Therapist | 590 Wakara Way, Slc, UT 84108-1200 | 2007-05-14 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
Please comment or provide details below to improve the information on KIMBERLY M ROSS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.