Kristy Sue Kitzler

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT001358 Issued in OH

Practice address

207 S Preston St
Centerburg, OH 43011-8021

Phone

(740) 625-6488

NPI assigned

Feb 5, 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.

• Knox County Esc

  • Local Education Agency (LEA)
  • Mount Vernon, OH
  • NPI 1841430295
  NPD (past)

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1164987061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 MARTINSBURG RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430504225",
            "telephone_number": "740-393-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S PRESTON ST",
            "city": "CENTERBURG",
            "state": "OH",
            "postal_code": "430118021",
            "telephone_number": "740-625-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITZLER",
        "first_name": "KRISTY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT001358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Hill
• Olivia Humphrey
• Michelle Jones, SLP
• Gillian Kane, LPN
• Brenda Sue Kennedy, LPN
• Knox Community Hospital
• Knox County General Health District
• Thomas D. Kozicki, DDS, MS
• Stephanie Lechard, RN
• Living Faith Home Health Care, LLC

• Occupational Therapist in Centerburg, OH
• Providers in Centerburg, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.