Kristin Domville, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT12166 Issued in FL

Practice address

11311 Coral Key Dr
Boca Raton, FL 33498-1964

Phone

(561) 997-4648

NPI assigned

Dec 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kristin Salvato Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Elite Performance Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Garden City, NY
  • NPI 1285969188
  NPD (past)

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1306114160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 CORAL KEY DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981964",
            "telephone_number": "561-997-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 CORAL KEY DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981964",
            "telephone_number": "561-997-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMVILLE",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12166",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "63014125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "SALVATO",
            "prefix": "MS.",
            "credential": "PHD, DR.OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adelaida Doimeadios, APRN
• Amanda J Dolif, APRN
• Linda Dolin, MD
• Vinicius B Domingues
• Cristina Dominguez, DMD
• Donahue Counseling Center, Inc.
• Julie Ann Donahue, FNP
• Noreen Frances Donahue, L.C.S.W.
• Veronica Nanette Donaldson
• Caroline Dondi, APRN

• Occupational Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.