KIMBERLY PERTH OTR/L
NPI 1184058059
Specialist in Mexico, NY

Active since August 28, 2013
28 SAGE CREEK RD, MEXICO, NY 13114(315) 289-3238 Get Directions Write a Review

NPPES record last updated: August 28, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Specialist

About KIMBERLY PERTH

This page provides the complete NPI Profile along with additional information for Kimberly Perth, a provider established in Mexico, New York with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1184058059 assigned on August 2013. The practitioner's primary taxonomy code is 174400000X with license number 018239-1 (NY). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1184058059 Verify this NPI
Provider Name
KIMBERLY PERTH OTR/L
Gender
Female
Entity Type
Individual
Location Address
28 SAGE CREEK RD MEXICO, NY 13114
Location Phone
(315) 289-3238
Mailing Address
28 SAGE CREEK RD MEXICO, NY 13114
Is Sole Proprietor?
No
Enumeration Date
08-28-2013
Last Update Date
08-28-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
018239-1
License State
NY
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184058059, enumerated as an "individual" on August 28, 2013.

The provider is located at 28 SAGE CREEK RD MEXICO, NY 13114 and the phone number is (315) 289-3238.

Specialist with taxonomy code 174400000X.