KIMBERLY RYAN OTR
NPI 1710210620
Occupational Therapist - Pediatrics in Immokalee, FL
About Kimberly Ryan Otr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY RYAN OTR (NPI 1710210620) is an individual pediatrics provider in Immokalee, Florida, licensed in Florida (OT3614) and active in the NPI registry since September 2009. She maintains a secondary practice location in Fort Myers and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Ryan Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Ryan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Myers, FL 33908
- Reassigned Medicare billing, Florida enrollment
- 1,899 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IMMOKALEE, FL 34142
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 Ryan's NPI number?
The NPI number for Kimberly Ryan is 1710210620. It was assigned to this individual provider in the NPPES registry on September 9, 2009.
Where is Kimberly Ryan located?
Kimberly Ryan practices at 429 N 1st St, Immokalee, FL 34142. The listed phone number is (239) 254-4280.
What is Kimberly Ryan's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.
Is Kimberly Ryan enrolled in Medicare?
Yes. Kimberly Ryan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Ryan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Ryan reassigns Medicare benefits to Lee Health System Inc (Fort Myers, FL). 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 Ryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Ryan accept?
Health plans from Ambetter Health and Ambetter of Alabama list Kimberly Ryan 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 Ryan was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.