| Kim M Waterbury, MS, OTRL, CHT | |
|
8100 Northland Dr, Bloomington, MN 55431-4800 | |
| (952) 831-8742 | |
| Not Available |
| Full Name | Kim M Waterbury |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapy |
| Experience | 24 Years |
| Location | 8100 Northland Dr, Bloomington, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023215720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 102434 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tria Orthopaedic Center Llc | 3173570561 | 362 |
| Provider Name | Park Nicollet Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Provider Name | Group Health Plan Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Provider Name | Tria Orthopaedic Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim M Waterbury, MS, OTRL, CHT 2532 Eagle Valley Dr, Woodbury, MN 55129-4206 Ph: () - | Kim M Waterbury, MS, OTRL, CHT 8100 Northland Dr, Bloomington, MN 55431-4800 Ph: (952) 831-8742 |
Christina Jean Jensen, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4801 W 81st St Ste 112, Bloomington, MN 55437 Phone: 952-345-3000 Fax: 952-345-6789 | |
Ms. Sandra Marie Meyer, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3800 American Blvd W, The Hartford, Bloomington, MN 55431 Phone: 952-656-6321 | |
Bailey Paige O'connell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1801 American Blvd E, Bloomington, MN 55425 Phone: 952-767-2267 | |
Ms. Nancy J Callinan, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742 | |
Jennifer Shana Voorhees, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 West 94th Street, Bloomington, MN 55420 Phone: 952-885-0418 Fax: 952-885-0173 | |
Anna Elizabeth Westlund, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 W 94th St, Bloomington, MN 55420 Phone: 651-738-9888 |