Healthcare Provider Details

I. General information

NPI: 1679000970
Provider Name (Legal Business Name): KIMBERLY KREBS OTD, OTR/L, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2017
Last Update Date: 10/04/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5845 PIERCE ST
PITTSBURGH PA
15232-1719
US

IV. Provider business mailing address

5845 PIERCE ST
PITTSBURGH PA
15232-1719
US

V. Phone/Fax

Practice location:
  • Phone: 914-255-5771
  • Fax:
Mailing address:
  • Phone: 914-255-5771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: