MEDICARE: KIMBERLY M ROSS OTR L,CHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	375157-4201	UT
2	225XH1200X	Hand Occupational Therapist	375157-4201	UT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00183940	OTHER	UT	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	68950	OTHER	UT	PEHP
2	5417	OTHER	UT	DMBA
4	1108540001	OTHER	UT	CIGNA DMERC
5	6826064002	OTHER	UT	CIGNA
6	870388269BR1	OTHER	UT	EDUCATORS MUTUAL
7	99375157403001	OTHER	UT	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1174524862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY M ROSS OTR L,CHT

Provider Business Mailing Address
First Line	:	6340 S 3000 E STE 200
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-3552
Country	:	US
Telephone Number	:	801-743-4500
Fax Number	:	435-655-2388

Provider Business Practice Location Address
First Line	:	6340 S 3000 E STE 200
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-3552
Country	:	US
Telephone Number	:	801-743-4500
Fax Number	:	435-655-2388

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	12/30/2025

Similar Medicare Providers

1902652787 — ROSENBERG COOLEY METCALF LC
Practice Location Address:

6340 S 3000 E STE 200
SALT LAKE CITY, UT
84121-3552

Practice Phone: 801-743-4500
Practice Fax: 435-655-2388

1871570408 — DR. NORMAN ANDREW CLEMENS M.D.
Practice Location Address:

2258 LAMBERTON RD
CLEVELAND HEIGHTS, OH
44118-3552

Practice Phone: 216-371-4373
Practice Fax: 216-371-4839

1609908920 — NORTHWEST OPTOMETRIC ASSOCIATES, LTD
Practice Location Address:

4970 N HARLEM AVE
HARWOOD HEIGHTS, IL
60706-3552

Practice Phone: 708-867-7838
Practice Fax: 708-867-5869

1578761979 — DENICE ANN RICE-KELLY O.D.
Practice Location Address:

4970 N HARLEM AVE
HARWOOD HEIGHTS, IL
60706-3552

Practice Phone: 708-867-7838
Practice Fax: 708-867-5869

1568830370 — JULIE BROUGH AT
Practice Location Address:

3552 NORTHCLIFFE RD
CLEVELAND HEIGHTS, OH
44118-3667

Practice Phone: 307-760-7926
Practice Fax:

1568307932 — NAJELY ORTIZ
Practice Location Address:

2540 E BENGAL BLVD STE 300
COTTONWOOD HEIGHTS, UT
84121-5157

Practice Phone: 801-495-5105
Practice Fax: 801-495-5106

Directions to “ KIMBERLY M ROSS OTR L,CHT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.