Active NPI
Kristi G Fender, M.S., OTRL
- Occupational Therapist
- Beverly, MA
National Provider Identifier
1376668947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9283
- Practice address
- 500 Cummings Ctr
Suite 3850
Beverly, MA 01915-6142 - Phone
- (978) 232-0337
- NPI assigned
- Mar 20, 2007
- 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 | 9283 | MA | Primary |
Addresses
Primary practice location
500 Cummings Ctr
Suite 3850
Beverly, MA 01915-6142
Mailing address
956 Bay Rd
Apt 3
S Hamilton, MA 01982-1105
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9283 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise and Shine LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Manchester, NH
- NPI 1942964655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1376668947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "956 BAY RD",
"address_2": "APT 3",
"city": "S HAMILTON",
"state": "MA",
"postal_code": "019821105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CUMMINGS CTR",
"address_2": "SUITE 3850",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156142",
"telephone_number": "978-232-0337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENDER",
"first_name": "KRISTI",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "M.S., OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "9283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.