MRS. KIMBERLY L ELLIOTT OT
NPI 1427383520
Occupational Therapist in Rock Island, IL

Active since October 07, 2009Accepts Medicare Assignment
4112 46TH AVE, ROCK ISLAND, IL 61201(309) 779-2828(309) 779-2839 Get Directions Write a Review

NPPES record last updated: October 7, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Kimberly L Elliott Ot NPPES

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

MRS. KIMBERLY L ELLIOTT OT (NPI 1427383520) is an individual occupational therapist in Rock Island, Illinois, licensed in Illinois (056008131) and active in the NPI registry since October 2009. She is a graduate of Other (2007).

NPPES Registry Identity

NPI1427383520
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. KIMBERLY L ELLIOTTCredential: OT
Location Address4112 46TH AVERock Island, IL 61201-7166
Mailing Address4112 46th AveRock Island, IL 61201-7166 · (309) 779-2828 · Fax (309) 779-2839
Fax(309) 779-2839
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 7, 2009
✔ NPI 1427383520 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 IL · 056008131
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.
4112 46TH AVE, Rock Island, IL 61201

Other Names 1

Former Name (1)Miss Kimberly L Dwyer

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

Mrs. Kimberly L Elliott 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 ID2062936263
PECOS Enrollment IDI20250409002412

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Elliott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
7300 DEARWESTER DR
Cincinnati, OH 45236
  • Reassigned Medicare billing, Iowa enrollment
  • 13 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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4112 46TH AVE
ROCK ISLAND, IL 61201
Physical Therapist
4112 46TH AVE
ROCK ISLAND, IL 61201
Speech-Language Pathologist
4112 46TH AVE
ROCK ISLAND, IL 61201
Physical Therapist
4112 46TH AVE
ROCK ISLAND, IL 61201
Physical Therapist
4112 46TH AVE
ROCK ISLAND, IL 61201
Physical Therapist
4112 46TH AVE
ROCK ISLAND, IL 61201
Physical Therapist
4112 46TH AVE
ROCK ISLAND, IL 61201
Speech-Language Pathologist
4112 46TH AVE
ROCK ISLAND, IL 61201

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 Elliott's NPI number?

The NPI number for Kimberly Elliott is 1427383520. It was assigned to this individual provider in the NPPES registry on October 7, 2009. The provider is also known as Miss Kimberly L Dwyer.

Where is Kimberly Elliott located?

Kimberly Elliott practices at 4112 46th Ave, Rock Island, IL 61201. The listed phone number is (309) 779-2828.

What is Kimberly Elliott's specialty?

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

Is Kimberly Elliott enrolled in Medicare?

Yes. Kimberly Elliott 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 organization bills Medicare for Kimberly Elliott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Elliott reassigns Medicare benefits to Cortlyn Therapy, PC (Cincinnati, OH). The 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 Kimberly Elliott'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 Kimberly Elliott was last updated on October 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.