Active NPI
Kristin Elana Lundsten, OT
- Occupational Therapist
- Walpole, MA
National Provider Identifier
1437218989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8362
- Practice address
- 5 Maude Ter
Walpole, MA 02081-2413 - Phone
- (609) 652-1158
- NPI assigned
- Dec 8, 2006
- 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 | 8362 | MA | Primary |
Addresses
Primary practice location
5 Maude Ter
Walpole, MA 02081-2413
Mailing address
70 Quincy Ave
Quincy, MA 02169-6714
Phone (617) 786-8811
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8362 | MA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Rehab Care, Inc | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1437218989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 QUINCY AVE",
"city": "QUINCY",
"state": "MA",
"postal_code": "021696714",
"telephone_number": "617-786-8811",
"fax_number": "617-786-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MAUDE TER",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020812413",
"telephone_number": "609-652-1158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDSTEN",
"first_name": "KRISTIN",
"middle_name": "ELANA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "8362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walpole, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.