Kristin Cassidy, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2010037675 Issued in MO

Practice address

11660 Eddie and Park Rd
Saint Louis, MO 63126

Phone

(314) 750-0752

NPI assigned

Mar 21, 2011

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 names 1

• Kristin House Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1396044186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 PINETREE LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194718",
            "telephone_number": "314-750-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 EDDIE AND PARK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63126",
            "telephone_number": "314-750-0752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3488 Jeffco Blvd",
            "address_2": "Ste 103A",
            "address_purpose": "LOCATION",
            "city": "Arnold",
            "state": "MO",
            "postal_code": "630106015",
            "country_code": "US",
            "telephone_number": "636-464-5439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "2010037675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "HOUSE",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Renee Cassell, ACNP
• Allison Celeste Cassidy, PHD, PHARMD
• Douglas James Cassidy, MD
• Justin Wayne Cassidy
• Karry Michael Cassidy, RDH BS
• Nicole Cassidy, PSYD
• Noah Arthur James Cassidy, MD
• Raees Cassim, MD
• Shiraz M Cassim, MD
• Andrea Cassimatis, CPNP

• Pediatric Occupational Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pediatric Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.