Active NPI
Kristina Lahti, OTR
- Occupational Therapist
- Fort Worth, TX
National Provider Identifier
1417518648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 119783
- Practice address
- 4775 North Fwy
Fort Worth, TX 76106-2315 - Phone
- (817) 740-8700
- NPI assigned
- Jun 27, 2019
- 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 | 119783 | TX | Primary |
Addresses
Primary practice location
4775 North Fwy
Fort Worth, TX 76106-2315
Mailing address
1860 Shasta View Dr
Justin, TX 76247-5711
Other practice location 1
1231 Greenway Dr Ste 100
Irving, TX 75038-2525
Phone (972) 871-1800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119783 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Small Hands Big Hearts Pediatric Therapy Management Inc | Current | Accepting new patients | |
| FST, LLC | Past | Accepting new patients |
Locations
4775 North Fwy
Fort Worth, TX 76106
Phone (682) 738-3056
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Fort Worth, TX
- NPI 1992012660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1417518648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 SHASTA VIEW DR",
"city": "JUSTIN",
"state": "TX",
"postal_code": "762475711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4775 NORTH FWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761062315",
"telephone_number": "817-740-8700"
}
],
"practiceLocations": [
{
"address_1": "1231 Greenway Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750382525",
"country_code": "US",
"telephone_number": "972-871-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAHTI",
"first_name": "KRISTINA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-27",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "119783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.