Individual provider Active NPI

Kristin Lavelle, OTR/L, CHT

  • Hand Occupational Therapist
  • El Cerrito, CA
National Provider Identifier
1629322912
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT907 Issued in CA
Practice address
6328 Fairmount Avenue
Suite 220
El Cerrito, CA 94530-3611
Phone
(510) 525-2700
Fax
(510) 525-2716
NPI assigned
Nov 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT907 CA Primary

Addresses

Primary practice location

6328 Fairmount Avenue
Suite 220
El Cerrito, CA 94530-3611

Mailing address

6328 Fairmount Avenue
Suite 220
El Cerrito, CA 94530-3611
Phone (510) 525-2700

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1629322912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6328 FAIRMOUNT AVENUE",
            "address_2": "SUITE 220",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303611",
            "telephone_number": "510-525-2700",
            "fax_number": "510-525-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6328 FAIRMOUNT AVENUE",
            "address_2": "SUITE 220",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303611",
            "telephone_number": "510-525-2700",
            "fax_number": "510-525-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVELLE",
        "first_name": "KRISTIN",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cerrito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.