Active NPI
Kristin Kay Witt, MS OTR/L
- Occupational Therapist
- Saint Louis, MO
National Provider Identifier
1437239373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004672
- Practice address
- 1 Jefferson Barracks Rd
11D-JB
Saint Louis, MO 63125-4181 - Phone
- (314) 289-7022
- Fax
- (314) 289-6435
- NPI assigned
- Oct 16, 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 | 004672 | MO | Primary |
Addresses
Primary practice location
1 Jefferson Barracks Rd
11D-JB
Saint Louis, MO 63125-4181
Mailing address
4333 Shaw Blvd
Saint Louis, MO 63110-2225
Phone (314) 773-7677
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004672 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437239373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4333 SHAW BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102225",
"telephone_number": "314-773-7677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JEFFERSON BARRACKS RD",
"address_2": "11D-JB",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631254181",
"telephone_number": "314-289-7022",
"fax_number": "314-289-6435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITT",
"first_name": "KRISTIN",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "004672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.