KIMBERLY LYNN GUSTAFSON OT
NPI 1154722346
Occupational Therapist - Hand in Edina, MN

Active since September 08, 2014Accepts Medicare Assignment
4010 W 65TH ST, EDINA, MN 55435(952) 456-7000(952) 456-7001 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Lynn Gustafson Ot NPPES

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

KIMBERLY LYNN GUSTAFSON OT (NPI 1154722346) is an individual hand provider in Edina, Minnesota, licensed in Minnesota (104692) and active in the NPI registry since September 2014. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1154722346
Entity TypeIndividualFemale
Primary Taxonomy225XH1200X
Provider Legal NameKIMBERLY LYNN GUSTAFSONCredential: OT
Location Address4010 W 65TH STEdina, MN 55435-1706
Mailing Address3500 American Blvd W Ste 300Bloomington, MN 55431-4442 · (952) 512-5600
Fax(952) 456-7001
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 8, 2014
Last NPPES UpdateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
NPI 1154722346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License Licensed in MN · 104692
4010 W 65TH ST, Edina, MN 55435

Other Names 1

Other Name (5)Kimberly Lynn Mcclintick Ot

Accepted Insurance

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 Lynn Gustafson 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 ID840410163
PECOS Enrollment IDI20141008000451

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.
58 services30 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.
39 services17 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.
18 services18 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)
4010 W 65TH ST
EDINA, MN 55435
Occupational Therapist (Pediatrics)
4010 W 65TH ST, SUITE 105
EDINA, MN 55435
Registered Nurse (Registered Nurse First Assistant)
4010 W 65TH ST
EDINA, MN 55435
Nurse Practitioner
4010 W 65TH ST
EDINA, MN 55435
Orthopaedic Surgery
4010 W 65TH ST
EDINA, MN 55435
Physician Assistant
4010 W 65TH ST
EDINA, MN 55435
Speech-Language Pathologist
4010 W 65TH ST, SUITE 105
EDINA, MN 55435
Orthopaedic Surgery (Hand Surgery)
4010 W 65TH ST
EDINA, MN 55435

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 Gustafson's NPI number?

The NPI number for Kimberly Gustafson is 1154722346. It was assigned to this individual provider in the NPPES registry on September 8, 2014. The provider is also known as Kimberly Lynn Mcclintick Ot.

Where is Kimberly Gustafson located?

Kimberly Gustafson practices at 4010 W 65th St, Edina, MN 55435. The listed phone number is (952) 456-7000.

What is Kimberly Gustafson's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

Is Kimberly Gustafson enrolled in Medicare?

Yes. Kimberly Gustafson 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.

What insurance does Kimberly Gustafson accept?

Health plans from Medica list Kimberly Gustafson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Gustafson was last updated on February 12, 2024. 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.