Active NPI
Kristina Kangas, OTR/L
- Occupational Therapist
- Daytona Beach, FL
National Provider Identifier
1376175588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT20584
- Practice address
- 615 S Palmetto Ave Unit 1
Daytona Beach, FL 32114-4925 - Phone
- (386) 690-0691
- NPI assigned
- Feb 5, 2020
- Last updated
- Feb 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT20584 | FL | Primary |
Addresses
Primary practice location
615 S Palmetto Ave Unit 1
Daytona Beach, FL 32114-4925
Mailing address
615 S Palmetto Ave Unit 1
Daytona Beach, FL 32114-4925
Phone (386) 690-0691
Other practice location 1
1016 Willa Springs Dr
Winter Springs, FL 32708-5214
Phone (407) 699-7999
Other practice location 2
160 Islander Ct
Longwood, FL 32750-4925
Phone (407) 767-6600
Other practice location 3
1061 Tomyn Blvd
Ocoee, FL 34761-4939
Phone (407) 906-4753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT20584 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1376175588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 S PALMETTO AVE UNIT 1",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144925",
"telephone_number": "386-690-0691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S PALMETTO AVE UNIT 1",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144925",
"telephone_number": "386-690-0691"
}
],
"practiceLocations": [
{
"address_1": "1016 Willa Springs Dr",
"address_purpose": "LOCATION",
"city": "Winter Springs",
"state": "FL",
"postal_code": "327085214",
"country_code": "US",
"telephone_number": "407-699-7999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "160 Islander Ct",
"address_purpose": "LOCATION",
"city": "Longwood",
"state": "FL",
"postal_code": "327504925",
"country_code": "US",
"telephone_number": "407-767-6600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1061 Tomyn Blvd",
"address_purpose": "LOCATION",
"city": "Ocoee",
"state": "FL",
"postal_code": "347614939",
"country_code": "US",
"telephone_number": "407-906-4753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANGAS",
"first_name": "KRISTINA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-05",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT20584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.