Kiersten Randall, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

U1-0001950 Issued in DE

Practice address

423 Goodwick Dr
Middletown, DE 19709-0188

Phone

(908) 472-5099

NPI assigned

Feb 16, 2015

Last updated

Oct 10, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Occupational Play

  • Pediatric Occupational Therapist
  • Middletown, DE
  • NPI 1386286920
  NPD Authorized official
• Occupational Play LLC

  • Occupational Therapist
  • Middletown, DE
  • NPI 1235772872
  NPD Authorized official
• Where the Heart Is Home Care

  • In Home Supportive Care Agency
  • Plainfield, NJ
  • NPI 1538968581
  NPD Authorized official

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1588055396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 GOODWICK DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197090188",
            "telephone_number": "908-472-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 GOODWICK DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197090188",
            "telephone_number": "908-472-5099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 The Grn Ste B",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199013618",
            "country_code": "US",
            "telephone_number": "908-472-5099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "KIERSTEN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00592800",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U1-0001950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennie Louisa Queen, PA-C
• Rebecca Queral, LCSW-C
• Victoria C Quinn, MD
• Gina Rabsatt
• Brianna Taylor Rafetto, DMD
• Angela Ning Reed, OTR/L
• Robert A Reese, D.C.
• Regional Orthopaedic Associates PA (Delaware Orthopaedic Specialists)
• Regional Orthopaedic Associates PA (Delaware Orthopaedic Specialists)
• Rekindled Spirits Inc

• Occupational Therapist in Middletown, DE
• Providers in Middletown, DE by specialty
• Occupational Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.