KIMBERLY A PETERSON OT
NPI 1104336668
Occupational Therapist in Davis, CA

Active since October 10, 2017Accepts Medicare Assignment
1340 LAKE BLVD, DAVIS, CA 95616(530) 753-5338(530) 753-4609 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2023, Oct 10, 2017 (2 updates tracked since 2017).

About Kimberly A Peterson Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY A PETERSON OT (NPI 1104336668) is an individual occupational therapist in Davis, California, licensed in California (OT17912) and active in the NPI registry since October 2017. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1104336668
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKIMBERLY A PETERSONCredential: OT
Location Address1340 LAKE BLVDDavis, CA 95616-5673
Mailing AddressPo Box 255228Sacramento, CA 95865-5228
Fax(530) 753-4609
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 10, 2017
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
NPI 1104336668 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 CA · OT17912
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.
1340 LAKE BLVD, Davis, CA 95616

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

Kimberly A Peterson Ot 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 ID7810253432
PECOS Enrollment IDI20171114002065

Areas of Expertise CMS Part B claims 6

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.
405 services92 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
313 services74 patients
Application of hot wax bath 97018
A hot wax bath, also known as paraffin wax treatment, is a therapy often used for pain relief in your hands, feet, or other areas. The warm wax helps increase blood flow, relax muscles, and reduce stiffness in joints. It's completely safe and can be especially beneficial for those with arthritis or other similar conditions.
173 services51 patients
Application of ultrasound, each 15 minutes 97035
Ultrasound is a medical procedure that uses high-frequency sound waves to capture live images from inside your body. It's a painless process typically lasting 15 minutes per session. This method aids in diagnosing conditions and monitoring health without any radiation exposure.
88 services26 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.
73 services72 patients
Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes 97760
This service involves learning to use an orthopedic device for your arm, leg, or trunk. The training lasts for 15 minutes and helps you understand how to properly use the device to support your recovery and enhance mobility.
15 services13 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.

Physical Therapist
1340 LAKE BLVD
DAVIS, CA 95616
Physical Therapist
1340 LAKE BLVD
DAVIS, CA 95616
Physical Therapist
1340 LAKE BLVD
DAVIS, CA 95616
Physical Therapist
1340 LAKE BLVD
DAVIS, CA 95616
Physical Therapy Assistant
1340 LAKE BLVD
DAVIS, CA 95616
Durable Medical Equipment & Medical Supplies
1340 LAKE BLVD
DAVIS, CA 95616
Physical Therapist
1340 LAKE BLVD
DAVIS, CA 95616
Physical Therapist
1340 LAKE BLVD, SUTTER PHYSICAL AND HAND THERAPY
DAVIS, CA 95616

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 Kimberly Peterson's NPI number?

The NPI number for Kimberly Peterson is 1104336668. It was assigned to this individual provider in the NPPES registry on October 10, 2017.

Where is Kimberly Peterson located?

Kimberly Peterson practices at 1340 Lake Blvd, Davis, CA 95616. The listed phone number is (530) 753-5338.

What is Kimberly Peterson's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Kimberly Peterson enrolled in Medicare?

Yes. Kimberly Peterson 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 Kimberly Peterson was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.