KIMBERLY M ROSS (OTR L,CHT) – Occupational Therapist, NPI 1174524862
Occupational Therapist
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
156 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in UT
Provider Addresses for KIMBERLY M ROSS (OTR L,CHT)
6340 S 3000 E STE 200
COTTONWOOD HEIGHTS, UT 841213552
Phone: (801) 743-4500
Fax: (435) 655-2388
Type: Location
590 S Wakara Way
Salt Lake City, UT 841081200
Phone: (801) 587-7001
Fax: (801) 581-4110
Type: Location
590, Wakara Way, Research Park, Salt Lake City, Salt Lake County, Utah, 84108, United States
SALT LAKE CITY, UT 841081200
Phone: (801) 587-7001
Fax: (801) 581-4110
Type: Mailing
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.
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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: 2004-08-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040813000401 | I | Occupational Therapist In Private Practice | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 79 | 15 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 55 | 13 | $0 |
| 97165 | Evaluation for occupational therapy, typically 30 minutes | 16 | 15 | $0 |
Insurance plans in this area (ZIP 84121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| Orthopedic Surgery | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| Physician Assistant | IL | |
| Orthopedic Surgery | UT | |
| Orthopedic Surgery | UT | |
| Physician Assistant | CA | |
| Physical Therapist In Private Practice | UT | |
| Physical Therapist In Private Practice | UT |
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