Kristen Leigh Maisano, OTD, OTR/L, CPAM

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119006107 Issued in VA

Practice address

6504 Old Carriage Dr
Alexandria, VA 22315-5036

Phone

(570) 313-3846

NPI assigned

Mar 13, 2007

Last updated

Dec 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1518090471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 OLD CARRIAGE DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155036",
            "telephone_number": "570-313-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6504 OLD CARRIAGE DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155036",
            "telephone_number": "570-313-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISANO",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L, CPAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC009867",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119006107",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT010000828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.