Cory A Kimmerly, COTA/L
Occupational Therapy Assistant in Oxford, NC. Individual provider (NPI-1).
NPI number1780161257
StatusActive
Last updated in NPPESJul 26, 2018
Details
- NPI
- 1780161257
- Entity type
- Individual (NPI-1)
- Name
- Cory A Kimmerly
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2018
- Last updated
- Jul 26, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 11917 | NC | Yes |
Practice location
500 Prospect AveOxford, NC 27565-2543
Phone 919-693-1531
Mailing address
4306 Tommie Sneed RdOxford, NC 27565-6959
Phone 919-524-3515
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Occupational Therapy Assistant providers in Oxford, NC
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