Kristen Nicole Paluso, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

12629 Issued in FL

Practice address

4450 W Eau Gallie Blvd Ste 180
Melbourne, FL 32934-7277

Phone

(321) 255-2267

NPI assigned

Jan 21, 2013

Last updated

Jan 21, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Nicole Doughty Former name

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": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1538407853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1287 ALAQUA WAY",
            "city": "W MELBOURNE",
            "state": "FL",
            "postal_code": "329048770",
            "telephone_number": "916-544-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 W EAU GALLIE BLVD STE 180",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347277",
            "telephone_number": "321-255-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUSO",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "12629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "DOUGHTY",
            "middle_name": "NICOLE",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roberto Andres Palou de Jesus
• Donna M Paloy, LCSW
• John Andrew Palsis, MD
• Anoop K Palta, MD
• Dominick Vincent Paluso, DPT
• Alyssa Marie Pamenter, APRN
• Amanda Beth Panaccione, MM, BM
• Fe V.S.J. Pancito, M.D.
• Samaria Pandy
• Joseph Dennis Paolucci, MD

• Occupational Therapy Assistant in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.