KIM M WATERBURY MS, OTRL, CHT
NPI 1023215720
Occupational Therapist in Bloomington, MN
About Kim M Waterbury Ms, Otrl, Cht NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM M WATERBURY MS, OTRL, CHT (NPI 1023215720) is an individual occupational therapist in Bloomington, Minnesota, licensed in Minnesota (102434) and active in the NPI registry since June 2007. She is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kim M Waterbury Ms, Otrl, Cht is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Kim Waterbury reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bloomington, MN 55431
- Reassigned Medicare billing, Minnesota enrollment
- 693 clinicians in this Medicare group
Bloomington, MN 55420
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 clinicians in this Medicare group
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55431
BLOOMINGTON, MN 55431
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kim Waterbury's NPI number?
The NPI number for Kim Waterbury is 1023215720. It was assigned to this individual provider in the NPPES registry on June 27, 2007.
Where is Kim Waterbury located?
Kim Waterbury practices at 8100 Northland Dr, Bloomington, MN 55431. The listed phone number is (952) 831-8742.
What is Kim Waterbury's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Kim Waterbury enrolled in Medicare?
Yes. Kim Waterbury is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kim Waterbury's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kim Waterbury reassigns Medicare benefits to 3 organizations: Tria Orthopaedic Center LLC (Bloomington, MN), Group Health, Inc. (Bloomington, MN) and Park Nicollet Methodist Hospital (St Louis Park, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kim Waterbury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kim Waterbury was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.