Dawn Kittleson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

105147 Issued in MN

Practice address

2319 7TH St W
Saint Paul, MN 55116-2813

Phone

(651) 251-3088

NPI assigned

Nov 16, 2016

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

Practice roles

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.

• Wallace Management Corporation

  dba Rehabilitex

  • Physical Therapist
  • Dublin, OH
  • NPI 1043298425

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1093257404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 W SPRAGUE RD STE 365",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441306319",
            "telephone_number": "216-227-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162813",
            "telephone_number": "651-251-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTLESON",
        "first_name": "DAWN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward F Kishel Jr., DDS
• Travis Kishel, PT, DPT
• Robert Kistler, LMFT
• Brett Michael Kistner, PHARMD, RPH
• Rahel Kitilla
• Lisa Rindal Kittleson, OTR/L
• Stephanie Kitzhaber, LICSW
• Meia Joyce Kjellberg, DDS
• Rachel Lynn Kjelsberg, RN
• Marcea Edith Kjervik, R.N.,M.S.,C.S.

• Occupational Therapist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.