Kristen Hanna Pietro, DR.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

29196 Issued in CA

Practice address

5763 Busch Dr
Malibu, CA 90265-3805

Phone

(310) 924-5842

NPI assigned

Jun 25, 2024

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

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mendwell Health LLCGroup PAC ID 6507303484, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mendwell Health LLC

  • Physical Therapist
  • Portland, OR
  • NPI 1861154940
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1275378010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5763 BUSCH DR",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653805",
            "telephone_number": "310-924-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5763 BUSCH DR",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653805",
            "telephone_number": "310-924-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRO",
        "first_name": "KRISTEN",
        "middle_name": "HANNA",
        "credential": "DR.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "29196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Perkins, LCSW
• Robert S Perkins, DDS
• Calvin Alexander Petkus
• Allan Val Pfeiffer, D.D.S.
• Pharmaceutical Billing Solutions, LLC
• Lauren Pike, MD
• Miljenko Pilepich, M.D.
• Annie Plumb, LAT, ATC, MS
• Curtis L Pollard, CPHT
• Suzanne Polo, M.S.,R.D., C.L.T.

• Occupational Therapist in Malibu, CA
• Providers in Malibu, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.