Individual provider Active NPI

Kristen Marie Balestreri, OT

  • Specialist
  • Delmont, PA
National Provider Identifier
1669586095
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OC002393L Issued in PA
Practice address
275 Abbe PL
Delmont, PA 15626-1319
Phone
(724) 468-5600
Fax
(724) 468-5604
NPI assigned
Aug 19, 2006
Last updated
Feb 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OC002393L PA Primary

Addresses

Primary practice location

275 Abbe PL
Delmont, PA 15626-1319

Mailing address

9130 Lucia LN
Irwin, PA 15642-4912
Phone (724) 863-4021

Other identifiers 1

IdentifierTypeStateIssuer
BA351693OtherPAHIGHMARK BC/BS/KEYSTONE

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

State licenses

LicenseStateTypeSpecialty
OC002393LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
East Suburban Home Care LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1669586095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 LUCIA LN",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156424912",
            "telephone_number": "724-863-4021",
            "fax_number": "724-863-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 ABBE PL",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156261319",
            "telephone_number": "724-468-5600",
            "fax_number": "724-468-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALESTRERI",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "OC002393L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS/KEYSTONE",
            "identifier": "BA351693",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.