KIMIKO S MCNEILL (OTL) – Occupational Therapist, NPI 1043831597

KIMIKO S MCNEILL (OTL) is a healthcare provider. based in Eureka, California. specializing in Occupational Therapist. They hold the professional credentials OTL. They hold a License No. 21114 (CA). The NPI Number for KIMIKO S MCNEILL (OTL) is 1043831597

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KIMIKO S MCNEILL (OTL)
NPI
1043831597
Phone
(707) 441-1931
Address
1587 MYRTLE AVE
Enumeration Date
6 May 2020
Last Update Date
6 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7074411931
Graduation Year
2019 (7 years ago)
PAC ID
1658792924
Group Practice PAC ID
7911999792
Professional Enrollment ID
I20200522002100
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for KIMIKO S MCNEILL (OTL)

  • 1587 MYRTLE AVE

    EUREKA, CA 955011453

    Phone: (707) 441-1931

    Fax: (707) 441-1940

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200522002100IOccupational Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities3,273141$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes537138$0
97168Re-evaluation for occupational therapy, typically 30 minutes14689$0
97165Evaluation for occupational therapy, typically 30 minutes128123$0
View full utilization report →

Insurance plans in this area (ZIP 95501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911999792View full group profile
NameSpecialtyState
-CA
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What number should I use to identify KIMIKO S MCNEILL (OTL) for billing?
Administrative and clinical systems typically use NPI 1043831597 for KIMIKO S MCNEILL (OTL).
Should I treat KIMIKO S MCNEILL (OTL) as an active provider?
Patients and plans typically see KIMIKO S MCNEILL (OTL) as active in the national extract.
Which specialty label fits KIMIKO S MCNEILL (OTL)?
NPPES ties KIMIKO S MCNEILL (OTL) to Occupational Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit KIMIKO S MCNEILL (OTL) in Eureka, California?
For routing, start with Eureka, California for KIMIKO S MCNEILL (OTL), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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