Kristen K. Stewart, M.S. OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

13414 Issued in MA

Practice address

185 Crescent St Apt 412
Waltham, MA 02453-3498

Phone

(315) 408-1337

NPI assigned

Jan 10, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Kickstart Pediatric Therapy, LLC

  • Occupational Therapist
  • Waltham, MA
  • NPI 1740938448
  NPD Authorized official
• Specialized Speech Center

  • Speech-Language Pathologist
  • Hollywood, FL
  • NPI 1821425505
  NPD (past)
• Specialized Speech Center, Inc.

  • Speech-Language Pathologist
  • Hollywood, FL
  • NPI 1346213576

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1437496445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CRESCENT ST APT 412",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533498",
            "telephone_number": "315-408-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CRESCENT ST APT 412",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533498",
            "telephone_number": "315-408-1337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3335 N University Dr",
            "address_2": "SUITE 5",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330242200",
            "country_code": "US",
            "telephone_number": "954-442-9422",
            "fax_number": "954-442-9150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KRISTEN",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "M.S. OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 17408",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "13414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Marie Stephenson, LMT
• Elizabeth Stern, LICSW
• Shannon Siska Stern, LMHC
• Gillat Sternberg, M.S
• Steven R. Kanner, MD, LLC
• Sonia Stewart, NP
• Julissa Elaine Stock
• Katelyn Stolberg
• Kathryn Stone
• Rosemary A Storer, GNP

• Pediatric Occupational Therapist in Waltham, MA
• Providers in Waltham, MA by specialty
• Pediatric Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.