Active NPI
Kristina Stewart, OTR/L
- Physical Rehabilitation Occupational Therapist
- Silver Spring, MD
National Provider Identifier
1104409887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- Practice address
- 12501 Prosperity Dr Ste 430
Silver Spring, MD 20904-1652 - Phone
- (301) 777-2000
- NPI assigned
- Apr 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | Primary |
Addresses
Primary practice location
12501 Prosperity Dr Ste 430
Silver Spring, MD 20904-1652
Mailing address
6 W Mount Ida Ave
Alexandria, VA 22305-2521
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Home Therapy LLC | Current | Accepting new patients | |
| DMV Home Therapy Opco LLC | Past | Accepting new patients |
Locations
12501 Prosperity Dr
Ste 430
Silver Spring, MD 20904
Phone (301) 777-2000
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Manassas, VA
- NPI 1942802772
-
- Physical Therapist
- Silver Spring, MD
- NPI 1699237560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1104409887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 W MOUNT IDA AVE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223052521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12501 PROSPERITY DR STE 430",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041652",
"telephone_number": "301-777-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "KRISTINA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-30",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.