Kimberly Peterson, OT
NPI 1104336668 · Occupational Therapist · Davis, CA
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Peterson, OT is a Occupational Therapist provider in Davis, CA (NPI 1104336668).
Provider details
- NPI number
- 1104336668
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- License
- OT17912 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,067 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 405 | $29 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 313 | $22 |
| Application of Hot Wax Bath97018 | 173 | $4 |
| Application of Ultrasound, Each 15 Minutes97035 | 88 | $11 |
| Evaluation for Occupational Therapy, Typically 30 Minutes97165 | 73 | $108 |
| Training in the Use of Orthopedic Device for Arm, Leg And/Or Trunk, Each 15 Minutes97760 | 15 | $42 |
Typical Medicare-allowed amounts for these services range $4–$108 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-10-10
- Last updated
- 2023-08-30
- Certified
- 2023-08-30
Frequently asked questions
- What is Kimberly Peterson's NPI number?
- Kimberly Peterson's National Provider Identifier (NPI) is 1104336668, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Peterson's specialty?
- Kimberly Peterson is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kimberly Peterson located?
- Kimberly Peterson's practice location on file with NPPES is 1340 Lake Blvd, Davis, CA 95616-5673.
- What is Kimberly Peterson's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Peterson is (530) 753-5338.
- Does Kimberly Peterson accept Medicare?
- Kimberly Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Peterson's NPI active?
- Yes — Kimberly Peterson's NPI (1104336668) is active in the NPPES registry as of the last update on 2023-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.