Active NPI
Kristen Henderson
- Pediatric Occupational Therapist
- Salinas, CA
National Provider Identifier
1447530571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT 10592
- Practice address
- 737 S Main St
Salinas, CA 93901-3233 - Phone
- (408) 241-9911
- Fax
- (408) 241-7788
- NPI assigned
- Aug 21, 2011
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT 10592 | CA | Primary |
Addresses
Primary practice location
737 S Main St
Salinas, CA 93901-3233
Mailing address
1520 Parkmoor Ave Ste a
San Jose, CA 95128-2422
Phone (408) 241-9911
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT 10592 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I Can Too Learning Center, Inc | 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.
-
- Early Intervention Provider Agency
- San Jose, CA
- NPI 1902048085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313884800000",
"number": "1447530571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 PARKMOOR AVE STE A",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282422",
"telephone_number": "408-241-9911",
"fax_number": "408-241-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 S MAIN ST",
"city": "SALINAS",
"state": "CA",
"postal_code": "939013233",
"telephone_number": "408-241-9911",
"fax_number": "408-241-7788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-21",
"last_updated": "2011-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT 10592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.