Kristina Marie Vanderbilt, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

19970 Issued in FL

Practice address

8181 NW 36TH St Ste 18
Doral, FL 33166-6661

Phone

(305) 591-4181

NPI assigned

May 30, 2019

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

State licenses

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.

• Vanderbilt Therapy, LLC

  • Occupational Therapist
  • Homestead, FL
  • NPI 1609458744
  NPD Authorized official

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1114585791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 E MOWRY CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330308207",
            "telephone_number": "305-748-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST STE 18",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666661",
            "telephone_number": "305-591-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERBILT",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "19970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibelis Valles de Atencio, BS
• Claudia Maria Valvis Morales
• Ngon-Vincent Van, PHARM.D.
• Geoffrey Vancol
• Anna Vanderbiest, LCSW, CMC
• Susana Vandiest
• Rachel Vanegas, MSW
• Sheila Varela Rodriguez
• Annia Vargas Basabes
• Roxana G Vargas Lemus, DDS

• Occupational Therapist in Doral, FL
• Providers in Doral, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.