Kirk Chin

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTA15234 Issued in FL

Practice address

800 SE Central Pkwy
Stuart, FL 34994-3901

Phone

(772) 287-9912

NPI assigned

Apr 6, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1619556644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 SW STATLER AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349845020",
            "telephone_number": "772-626-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SE CENTRAL PKWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943901",
            "telephone_number": "772-287-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "KIRK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OTA15234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dinamarie Chiarenza
• Emilie Chiasson
• Carmen Dilia Childers, DDS
• Children'S Dentistry of Stuart
• Joshua Chimelis Perez
• Lieny Chinea
• Diana Marie Chiong, DO
• Chiropractic Care of the Treasure Coast, P.a.
• Trinity Kyenne Chisholm
• Elizabeth Choby, PA-C

• Occupational Therapist in Stuart, FL
• Providers in Stuart, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.