Active NPI
Kaitlyn Marie Frost, MOT, OTR/L
- Occupational Therapist
- Munster, IN
National Provider Identifier
1083165229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31005296A
- Practice address
- 9950 Calumet Ave
Munster, IN 46321-4028 - Phone
- (219) 703-2755
- NPI assigned
- Oct 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT60658037 | WA | |
| Occupational Therapist | 225X00000X | OT17384 | FL | |
| Occupational Therapist | 225X00000X | 056009740 | IL | |
| Occupational Therapist | 225X00000X | 31005296A | IN | Primary |
| Occupational Therapist | 225X00000X | CA |
Addresses
Primary practice location
9950 Calumet Ave
Munster, IN 46321-4028
Mailing address
1330 Lily CT
Schererville, IN 46375-1480
Other names 1
- Kaitlyn Marie O'Brien
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT17384 | FL | MD | Occupational Therapist |
| 056009740 | IL | MD | Occupational Therapist |
| 31005296A | IN | MD | Occupational Therapist |
| OT60658037 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564444800000",
"number": "1083165229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 LILY CT",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9950 CALUMET AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463214028",
"telephone_number": "219-703-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "KAITLYN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-24",
"last_updated": "2019-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60658037",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT17384",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056009740",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31005296A",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLYN",
"last_name": "O'BRIEN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.