Individual provider Active NPI

Kaitlyn Hindman, OTR/L

  • Occupational Therapist
  • New Port Richey, FL
National Provider Identifier
1104484849
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT19881 Issued in FL
Practice address
1726 Davenport Dr
New Port Richey, FL 34655-4228
Phone
(727) 493-2393
NPI assigned
May 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT19881 FL Primary

Addresses

Primary practice location

1726 Davenport Dr
New Port Richey, FL 34655-4228

Mailing address

1726 Davenport Dr
New Port Richey, FL 34655-4228

Other practice location 1

1423 Magnolia St Ste D
Gulfport, MS 39507-3516
Phone (601) 336-5236

Other names 1

  • Kaitlyn Smith Former name

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

LicenseStateTypeSpecialty
OT19881FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Mississippi LLC Occupational Therapist CurrentSince Jul 6, 2022 Accepting new patients
Speech Within Reach Therapy Services, PLLC Occupational Therapist Past Accepting new patients
Drayer Physical Therapy Mississippi LLC Past Accepting new patients
Kids Speech, Physical, and Occupational Therapy, Inc PastSince Jul 31, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1104484849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 DAVENPORT DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 DAVENPORT DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554228",
            "telephone_number": "727-493-2393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1423 Magnolia St Ste D",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395073516",
            "country_code": "US",
            "telephone_number": "601-336-5236",
            "fax_number": "601-255-5458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINDMAN",
        "first_name": "KAITLYN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT19881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "SMITH",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.