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

Mrs. Kimberly Hickman, MS, OTR/L

Individual provider Occupational Therapist · NPI 1043698947

Mrs. Kimberly Hickman, MS, OTR/L is an Occupational Therapist in Private Practice in Audubon, Pennsylvania. Qualified in 2009, 17 years ago. Practices with Shannondell, Inc, an 18-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
17
Licensed in
PA
In the registry since
2015
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

10000 Shannondell Dr
Audubon, PA 19403-5615
Phone: (610) 382-8710
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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 OC011276 (PA)

Record details

NPI number1043698947
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorNo
NPI enumeratedMay 12, 2015
Last updated in NPPESMay 12, 2015

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Shannondell, Inc. — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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