Kristen Harbeson Elliott, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2406 Issued in SC

Practice address

474 Baker Woods TRL
Martinez, GA 30907-2783

Phone

(803) 221-6535

NPI assigned

Jun 19, 2007

Last updated

Jul 8, 2007By 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 identifiers 1

Other names 1

• Miss Kristen Leigh Harbeson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699970665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 BAKER WOODS TRL",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309072783",
            "telephone_number": "803-221-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 BAKER WOODS TRL",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309072783",
            "telephone_number": "803-221-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "KRISTEN",
        "middle_name": "HARBESON",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "2406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1501",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "HARBESON",
            "middle_name": "LEIGH",
            "prefix": "MISS",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory C. Edwards, PT, DPT, CEEAA
• Esther Ehuie
• Amira El-Sherbeny, RPH
• Sylvia Marie Elam, FNP
• Russell John Ellicott, D.P.M.
• Tanya Ellis-Asbury, LPC
• Rachel Cook Elvis, DMD
• Emily Beall LLC (Augusta Center for Anxiety Disorders)
• Enchanted Hearts Home Care Services LLC.
• Kendra Englade, RBT

• Pediatric Occupational Therapist in Martinez, GA
• Providers in Martinez, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.