Kristin Muran Mahendra, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004809 Issued in MO

Practice address

2007 Wood Manor Way
Saint Charles, MO 63304-8402

Phone

(314) 277-3103

NPI assigned

Jan 13, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristin Louis Muran Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Smart Rehab, LLC

  • Physical Therapist
  • Kirkwood, MO
  • NPI 1144760471
  Medicare reassignment NPD

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1184434938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 WOOD MANOR WAY",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633048402",
            "telephone_number": "314-277-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 WOOD MANOR WAY",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633048402",
            "telephone_number": "314-277-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHENDRA",
        "first_name": "KRISTIN",
        "middle_name": "MURAN",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "004809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MURAN",
            "middle_name": "LOUIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Mackelprang, LMSW
• Taylor M Macker
• Pamela Marie Madan
• Cherie Magueja, MSW LCSW
• Shelby Anne Mahaney, DC
• Main Street Counseling, LLC
• Mohammed Fazal Majeed, MD
• Makak-2 LLC
• Malaika LLC
• Cory Malone, MD

• Occupational Therapist in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.