NPPES file of Aug 9, 2026

Kimberly A. Peterson, OT

Occupational Therapist · Davis, CA

Kimberly A. Peterson, OT is an occupational therapist with a practice address in Davis, California, and NPI 1104336668, issued on Oct 10, 2017. Check the license (California OT17912, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1104336668
Name
Kimberly A. Peterson
Credential
OT
Primary taxonomy
Occupational Therapist 225X00000X
License number
OT17912 CA
Self-reported in NPPES; status is on the state search
Practice location
1340 Lake Blvd, Davis, CA 95616
Phone
(530) 753-5338
Enumerated
Oct 10, 2017
Record last updated
Aug 30, 2023
Fax
(530) 753-4609
Medicare enrollment
Enrolled (PECOS I20171114002065); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1340 Lake Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Carina Abrams, PTPhysical Therapist1467620930
  2. Edward Barakatt, P.T.Physical Therapist1144341926
  3. Mary Bechtold, PTPhysical Therapist1417969015
  4. Elizabeth Canevari, P.T.Physical Therapist1174638837
  5. Laura Correll, PTPhysical Therapist1275711632
  6. Travis Ediger, PTPhysical Therapist1730935784

Verify Kimberly A. Peterson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license OT17912
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Sutter Valley Medical FoundationSacramento, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kimberly A. Peterson among 9,244 occupational therapist records in California

Kimberly A. Peterson, OT is one of 9,244 occupational therapist records with a practice address in California. 9% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 42% of them.

  • NPI issued2017 · 42% of these records are older, 53% newer
  • In a Medicare fileYes · 9% of these records are
  • In the CMS Doctors and Clinicians fileYes · 10% of these records are
  • Graduated2015 · median 2018 among the 910 with a school on file
  • Record last updated2023 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225X00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Occupational Therapist providers in California

There are 9,244 occupational therapist records in California.

The 8 occupational therapist records with the nearest ZIP codes

  1. Billie ApplegarthDavis, CA 956161588170336
  2. Johnny Cheong, OTR/LDavis, CA 956161366918153
  3. Patrice Chin-JonesDavis, CA 956161881442929
  4. Diane DiemerDavis, CA 956161306054259
  5. Melissa EvansDavis, CA 956161023723897
  6. Kerry KrohnDavis, CA 956161538871462
  7. Suzanne McKenna-Stukas, MS OTRDavis, CA 956161427159409
  8. Katherine Sadoff, OTR/LDavis, CA 956161528552809

Common questions

What is Kimberly A. Peterson, OT's NPI number?

Kimberly A. Peterson, OT's National Provider Identifier (NPI) is 1104336668, issued on Oct 10, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Kimberly A. Peterson, OT located?

The NPPES record lists a practice address at 1340 Lake Blvd, Davis, CA, 95616. Phone: (530) 753-5338. Providers update this record themselves, so call before visiting.

How can I verify Kimberly A. Peterson, OT's license?

NPPES lists California license number OT17912, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.