Kyle Fitzstevens, OTD

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

463011 Issued in CA

Practice address

8376 Fruitridge Rd
Sacramento, CA 95828-0949

Phone

(916) 422-0571

NPI assigned

Apr 10, 2023

Sex

Male

Sole proprietor

No

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

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": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1295420859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 J ST STE 210",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164734",
            "telephone_number": "916-444-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8376 FRUITRIDGE RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958280949",
            "telephone_number": "916-422-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZSTEVENS",
        "first_name": "KYLE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "463011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen P Fitzpatrick, M.D.
• Ranet Fitzpatrick
• Thomas A. Fitzpatrick, MD
• Emily Fitzsimmons, RBT, BA
• Shawn Rachell Fitzsimmons
• James E Fitzwater, M.D.
• Five Pillars Legacy Homes
• Fix Pain DME LLC
• Angelina Fizulic
• Janelle Sheree Flagg

• Pediatric Occupational Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.