Kristyne Anderson, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Hurst, TX
NPI 1124575741 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1124575741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 213446 (TX)
- Practice address
- 305 NE Loop 820
Business Tower 1, Suite 200
Hurst, TX 76053-7209 - Phone
- (817) 292-8787
- Fax
- (817) 789-6849
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213446 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 213446 | TX | Yes |
Addresses
Primary practice location
305 NE Loop 820
Business Tower 1, Suite 200
Hurst, TX 76053-7209
Mailing address
305 NE Loop 820
Business Tower 1, Suite 200
Hurst, TX 76053
Phone (817) 292-8787
Other providers in Hurst, TX
- American Dynamic Imaging LTD
- Anderson Audiology Associates, LLC
- Ancey Anderson
- Angela E. Anderson
- Kipton Ford Anderson
- Charley Julius Andrews III III
- Yanique Andrews
- Ugonna Anosike
- Ifeanyichukwu Anusionwu
- Arisen Business Ventures, LLC
All providers in Hurst, TX · Occupational Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.