Kiana Kyle D. Misterio, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

0119010814 Issued in VA

Practice address

4100 Lafayette Center Dr Ste 103
Chantilly, VA 20151-1234

Phone

(571) 297-0000

NPI assigned

Feb 5, 2025

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)

Not 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 and National Provider Directory roles.

• Shinning Stars Therapy PLLC

  • Pediatric Physical Therapist
  • Chantilly, VA
  • NPI 1548989510

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1700690237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13933 DEVIAR DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAFAYETTE CENTER DR STE 103",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511234",
            "telephone_number": "571-297-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21631 Ridgetop Cir Ste 225",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201664289",
            "country_code": "US",
            "telephone_number": "571-207-8850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISTERIO",
        "first_name": "KIANA KYLE",
        "middle_name": "D.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119010814",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VA",
            "license": "0119010814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Jose Milla Gonzalez
• Katie Miller
• Mindwell Psychology
• Mire Health Group
• Mahnoor Mirza
• Erin Mitchell, NP
• Mercy Mkorombindo, FNP
• Moa Mid-Atlantic Chantilly PC
• Moa Mid-Atlantic LLC
• Daren Moat, PT

• Pediatric Occupational Therapist in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Pediatric Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.