Kristyna Drawdy, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA16349 Issued in FL

Practice address

1483 SW Bougainvillea Ave
Port St Lucie, FL 34953-7302

Phone

(772) 336-6928

NPI assigned

Feb 2, 2018

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

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

• Advance Speech Therapy Services, Inc.

  • Clinic/Center
  • Port Saint Lucie, FL
  • NPI 1972721439
  NPD (past)

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1063911386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 DEANNA LN",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349469108",
            "telephone_number": "772-577-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 SW BOUGAINVILLEA AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537302",
            "telephone_number": "772-336-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAWDY",
        "first_name": "KRISTYNA",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA16349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Flink Family Chiropractors PA
• Dr Jose J Pozo PA
• Dr Sheldon H Rifkin PA
• Dr. George Blackwell Inc.
• Stephanie A Drabin, M.D.
• Dream Catchers Support Services
• Dream Haven Grouphome LLC
• DRS Berghash & Lanza PL
• Aldrin Dsilva
• DT Clinical Port St Lucie

• Occupational Therapy Assistant in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.