Active NPI
Kirsten Erin Patterson, MA OTR/L
- Occupational Therapist
- Dayton, OH
National Provider Identifier
1083701072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 007137
- Practice address
- 4710 Old Troy Pike
Dayton, OH 45424-5740 - Phone
- (937) 233-1230
- Fax
- (937) 236-8930
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 11786 | FL | |
| Occupational Therapist | 225X00000X | 007137 | OH | Primary |
Addresses
Primary practice location
4710 Old Troy Pike
Dayton, OH 45424-5740
Mailing address
8006 Lakepointe Dr
BLDG #1
Plantation, FL 33322-5726
Phone (954) 370-8410
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890290900 | Medicaid | FL | |
| 4620006 | Other | OH | UNITED HEALTHCARE GROUP |
| 0510772 | Medicaid | OH |
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007137 | OH | MD | Occupational Therapist |
| 11786 | FL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219363200000",
"number": "1083701072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8006 LAKEPOINTE DR",
"address_2": "BLDG #1",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333225726",
"telephone_number": "954-370-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 OLD TROY PIKE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454245740",
"telephone_number": "937-233-1230",
"fax_number": "937-236-8930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "KIRSTEN",
"middle_name": "ERIN",
"name_prefix": "Mrs.",
"credential": "MA OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2008-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "11786",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "007137",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890290900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE GROUP",
"identifier": "4620006",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0510772",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.