Individual provider Active NPI

Kristine Philbin, OT, OTR, MS

  • Occupational Therapist
  • Wellesley, MA
National Provider Identifier
1194486829
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
12044 Issued in MA
Practice address
396 Washington St Ste 370
Wellesley, MA 02481-6209
Phone
(781) 915-0299
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 12044 MA Primary

Addresses

Primary practice location

396 Washington St Ste 370
Wellesley, MA 02481-6209

Mailing address

396 Washington St Ste 370
Wellesley, MA 02481-6209

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristine@cotcweb.com Direct

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12044MAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1194486829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 WASHINGTON ST STE 370",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 WASHINGTON ST STE 370",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816209",
            "telephone_number": "781-915-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILBIN",
        "first_name": "KRISTINE",
        "credential": "OT, OTR, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "12044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristine@cotcweb.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "396 Washington St Ste 370",
            "city": "Wellesley",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024816209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

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