Individual provider Active NPI

Kristy Marie Pinkerton, OTR

  • Occupational Therapist
  • Venice, FL
National Provider Identifier
1194964817
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
23108 Issued in FL
Practice address
17913 Grand Prosperity Dr
Venice, FL 34293-4964
Phone
(734) 612-5317
NPI assigned
Feb 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201005832 MI
Occupational Therapist 225X00000X 23108 FL Primary

Addresses

Primary practice location

17913 Grand Prosperity Dr
Venice, FL 34293-4964

Mailing address

17913 Grand Prosperity Dr
Venice, FL 34293-4964
Phone (734) 612-5317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240215002339 FL Practitioner - Occupational Therapist in Private Practice 3779927975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dah Therapies LLCGroup PAC ID 5395078968, 25 clinicians

Practice addresses (Care Compare)

3000 Aston Gardens Dr
Unit 101
Venice, FL 34292-3098
Phone (239) 676-2080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23108FLMDPhysical Therapist
5201005832MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dah Therapies LLC CurrentSince Feb 8, 2024 Accepting new patients
Physical Therapy at Home Inc PastSince Feb 8, 2024 Accepting new patients

Locations

3461 Bonita Bay Blvd
Ste 101
Bonita Springs, FL 34134
Phone (239) 398-6214

4800 Aston Gardens Way
Naples, FL 34109
Phone (239) 300-1301

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1194964817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17913 GRAND PROSPERITY DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342934964",
            "telephone_number": "734-612-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17913 GRAND PROSPERITY DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342934964",
            "telephone_number": "734-612-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKERTON",
        "first_name": "KRISTY",
        "middle_name": "MARIE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-19",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201005832",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "23108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.