Krystan Joy Kyttle, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

TOC103693 Issued in PA

Practice address

1409 Market St Ste 202
Berwick, PA 18603-2140

Phone

(570) 231-5407

NPI assigned

Oct 25, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Berwick Home Care Services LLC

  • Community Based Hospice Care Agency
  • Forty Fort, PA
  • NPI 1457385353
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1063176295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 SUNSET DR",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186032433",
            "telephone_number": "570-854-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 MARKET ST STE 202",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186032140",
            "telephone_number": "570-231-5407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3298 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomsburg",
            "state": "PA",
            "postal_code": "178157932",
            "country_code": "US",
            "telephone_number": "570-784-6688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYTTLE",
        "first_name": "KRYSTAN",
        "middle_name": "JOY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "TOC103693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Kishbaugh, PT
• Robert Kitonyo
• Elise Klinger, LSW
• John T Kozlowski, R.PH.
• Kubicki Podiatry PC
• Joseph Millard Lawall, RPH
• Annette M Leberfinger, RDH, PHDHP
• Michael Ronal Lehan
• Jason Lin, PHARM D
• Cassandra Lindenfeld

• Occupational Therapist in Berwick, PA
• Providers in Berwick, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.