KIMBERLY BERTHOLD JERROM OTR/L
NPI 1639545825
Occupational Therapist in Greensboro, NC

Active since August 11, 2015Accepts Medicare Assignment
5125 MICHAUX RD, GREENSBORO, NC 27410(828) 774-5222 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 21, 2022, Mar 23, 2019 (2 updates tracked since 2019).

About Kimberly Berthold Jerrom Otr/l NPPES

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

KIMBERLY BERTHOLD JERROM OTR/L (NPI 1639545825) is an individual occupational therapist in Greensboro, North Carolina, licensed in North Carolina (11521) and active in the NPI registry since August 2015. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1639545825
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKIMBERLY BERTHOLD JERROMCredential: OTR/L
Location Address5125 MICHAUX RDGreensboro, NC 27410-9836
Mailing Address3805 Baylor StGreensboro, NC 27405-3101
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 11, 2015
Last NPPES UpdateDecember 21, 20222 updates tracked since enumeration
NPPES CertifiedDecember 21, 2022
NPI 1639545825 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
Licenses Licensed in NC · 11521 Licensed in FL · OT16933
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.
5125 MICHAUX RD, Greensboro, NC 27410

Other Identifiers 1

Other11521NC · Ncbot

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 Berthold Jerrom Otr/l 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 ID4486912961
PECOS Enrollment IDI20260209002639

Other Providers at the Same Location NPPES 3

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

Assisted Living Facility
5125 MICHAUX RD
GREENSBORO, NC 27410
Assisted Living Facility
5125 MICHAUX RD
GREENSBORO, NC 27410
Occupational Therapist (Hand)
5125 MICHAUX RD
GREENSBORO, NC 27410

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 Jerrom's NPI number?

The NPI number for Kimberly Jerrom is 1639545825. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Kimberly Jerrom located?

Kimberly Jerrom practices at 5125 Michaux Rd, Greensboro, NC 27410. The listed phone number is (828) 774-5222.

What is Kimberly Jerrom's specialty?

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

Is Kimberly Jerrom enrolled in Medicare?

Yes. Kimberly Jerrom 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 Jerrom was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.