KIM M WATERBURY MS, OTRL, CHT
NPI 1023215720
Occupational Therapist in Bloomington, MN

Active since June 27, 2007Accepts Medicare Assignment
8100 NORTHLAND DR, BLOOMINGTON, MN 55431(952) 831-8742 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1023215720
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKIM M WATERBURYCredential: MS, OTRL, CHT
Location Address8100 NORTHLAND DRBloomington, MN 55431-4800
Mailing Address2532 Eagle Valley DrWoodbury, MN 55129-4206
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 27, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1023215720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in MN · 102434
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
8100 NORTHLAND DR, Bloomington, MN 55431

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2860416112
PECOS Enrollment IDI20060125000630

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
69 services19 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
21 services16 patients
Evaluation for occupational therapy, typically 30 minutes 97165
An evaluation for occupational therapy is a process where a therapist assesses your physical and mental abilities to perform daily activities. This 30-minute session helps identify any difficulties you may have and develop strategies for improvement.
12 services12 patients

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.

Specialist/Technologist (Athletic Trainer)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Orthopaedic Surgery
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Occupational Therapist (Hand)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Specialist/Technologist (Athletic Trainer)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Clinic/Center (Ambulatory Surgical)
8100 NORTHLAND DR
MINNEAPOLIS, MN 55431
Specialist/Technologist (Athletic Trainer)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Family Medicine (Sports Medicine)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Family Medicine (Sports Medicine)
8100 NORTHLAND DR
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.

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.