MEDICARE: MS. KIMBERLY ANN MCCAIN OTRL

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	6893	TN
2	225X00000X	Occupational Therapist	31003550A	IN

General Provider Information

NPI Number	:	1881717361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KIMBERLY ANN MCCAIN OTRL

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	2011 MURPHY AVE STE 605
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2220
Country	:	US
Telephone Number	:	615-284-7555
Fax Number	:

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

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	03/24/2025

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