KIMBERLY CONTRERAS OTR/L
NPI 1477893436
Occupational Therapist - Pediatrics in Gresham, OR
NPI Status: Active since February 27, 2013
Contact Information
532 N MAIN AVE
GRESHAM, OR
ZIP 97030
Phone: (503) 666-1333
Fax: (503) 666-2444
- Individual
- Female
- Years of Experience 29
- Occupational Therapist
- Pediatrics
- Accepts Insurance
- Accepts Medicare Approved Payment
About KIMBERLY CONTRERAS
This page provides the complete NPI Profile along with additional information for Kimberly Contreras, a provider established in Gresham, Oregon with a medical specialization in Occupational Therapist, focusing in pediatrics and more than 29 years of experience. The healthcare provider is registered in the NPI registry with number 1477893436 assigned on February 2013. The practitioner's primary taxonomy code is 225XP0200X with license number 993054 (OR). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1477893436
- Provider Name
- KIMBERLY CONTRERAS OTR/L
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 532 N MAIN AVE GRESHAM, OR 97030
- Location Phone
- (503) 666-1333
- Location Fax
- (503) 666-2444
- Mailing Address
- 532 N MAIN AVE GRESHAM, OR 97030
- Medical School Name
- OTHER
- Graduation Year
- 1997
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-27-2013
- Last Update Date
- 02-27-2013
- Code Navigator
Location Map
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
Occupational Therapist Pediatrics
- Taxonomy Code
- 225XP0200X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 993054
- License State
- OR
- Taxonomy Description
- Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Legacy - EPO
- Silver 6200 Individual and Family Network - EPO
- Silver 6200 Legacy - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kimberly Contreras is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 840420717
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20140221000328
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Evaluation for occupational therapy, typically 30 minutes
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
Therapy procedure using manual technique, each 15 minutes
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.
This service was performed 21 times for 21 patientsThis 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.
This service was performed 331 times for 25 patientsThis 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.
This service was performed 485 times for 24 patientsReviews for KIMBERLY CONTRERAS OTR/L
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 7 | 7 | 8 | 9 | 3 | 4 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 16 | 9 | 6 | 4 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 6 + 9 + 6 + 4 + 6 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1477893436 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962727784 | CELESTE CHERI DELANEY OT Individual | Occupational Therapist | 532 N MAIN AVE GRESHAM, OR 97030 (503) 666-1333 |
| 1437456845 | MR. MICHAEL JEDLICKA SLP Individual | Speech-Language Pathologist | 532 N MAIN AVE GRESHAM, OR 97030 (503) 666-1333 |
| 1326617283 | MEDICAL TRANSPORT LLC Organization | Driver | 532 N MAIN AVE GRESHAM, OR 97030 (360) 339-2792 |
| 1952970907 | CHLOE TAYLOR Individual | Driver | 532 N MAIN AVE GRESHAM, OR 97030 (360) 339-2792 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477893436, enumerated in the NPI registry as an "individual" on February 27, 2013
The provider is located at 532 N Main Ave Gresham, Or 97030 and the phone number is (503) 666-1333
The provider's speciality is Occupational Therapist with taxonomy code 225XP0200X with a focus in Pediatrics
The provider has more than 29 years of experience.
The provider might be accepting Accepts: BridgeSpan Health Company, PacificSource Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Evaluation for occupational therapy, typically 30 minutes, Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes and Therapy procedure using manual technique, each 15 minutes.
This NPI record was last updated on February 27, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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