Kristin P Wittgen, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

002916 Issued in GA

Practice address

2753 Thomashire Trce
Marietta, GA 30066-4783

Phone

(678) 234-9761

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kristin P Wittgen, Pediatric Occupational Therpay Services

  • Pediatric Occupational Therapist
  • Marietta, GA
  • NPI 1366519613

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1427125772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 THOMASHIRE TRCE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664783",
            "telephone_number": "678-234-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 THOMASHIRE TRCE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664783",
            "telephone_number": "678-234-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTGEN",
        "first_name": "KRISTIN",
        "middle_name": "P",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "002916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000916418A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanesha Wise
• Wishing Well Counseling & Consulting
• Angelina Elizabeth Witbeck, PSY.D.
• Witkiewicz Enterprises, Inc
• Witkiewicz Enterprises, Inc.
• Akpobome Patricia Wodi, MD
• Martin Wodi
• Kings Woghiren
• Jennifer Wohlers, DDS
• Adam Michael Wojtysiak, PT, DPT

• Pediatric Occupational Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.