Individual provider Active NPI

Kristina Lahti, OTR

  • Occupational Therapist
  • Fort Worth, TX
National Provider Identifier
1417518648
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
119783 Issued in TX
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

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
119783TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Small Hands Big Hearts Pediatric Therapy Management Inc CurrentSince Jul 21, 2024 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.

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.

Verify at the official NPI Registry.