Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Berthold Jerrom, OTR/L

Individual provider Occupational Therapist · NPI 1639545825

Kimberly Berthold Jerrom, OTR/L is an Occupational Therapist in Private Practice in Greensboro, North Carolina. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
12
Licensed in
FL, NC
In the registry since
2015
Specialties on file
3
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

5125 Michaux Rd
Greensboro, NC 27410-9836
Phone: (828) 774-5222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 11521 (NC)
Occupational Therapist Taxonomy 225X00000X
Occupational Therapist Taxonomy 225X00000X · Licence OT16933 (FL)

Record details

NPI number1639545825
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedAugust 11, 2015
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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