Kristen Irene Macchiarolo, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA12587 Issued in FL

Practice address

1132 Capricorn Blvd
Punta Gorda, FL 33983

Phone

(941) 286-5840

NPI assigned

Nov 29, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1275715401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 N BLUFF ST",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512352",
            "telephone_number": "573-642-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 CAPRICORN BLVD",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "33983",
            "telephone_number": "941-286-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCHIAROLO",
        "first_name": "KRISTEN",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA12587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275715401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pallavi Palkhe Lowery
• Shana E Lukens, PA-C
• Lili Ann Lustig, D.O.
• Lynn Snyder Counseling
• Lynn Spinn LLC
• Bruce D Macdonald, M.D.
• William Machnicz
• Joseph J Maggiore, D.D.S.
• Sandra Mahoney, PT
• Hannah Marie Manczka, MS, OTR/L

• Occupational Therapy Assistant in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.