Kaitlyn Nicole Kalisz, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119007379 Issued in VA

Practice address

31 Stafford Ave
Stafford, VA 22554-7246

Phone

(540) 658-6000

NPI assigned

Jul 12, 2017

Last updated

Jul 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stafford County Public Schools

  • Local Education Agency (LEA)
  • Stafford, VA
  • NPI 1215959259
  NPD (past)
• Stafford County Public Schools

  • School Psychologist
  • Stafford, VA
  • NPI 1508471277
  NPD (past)

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562198400000",
    "number": "1740702786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 MUSTER DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548503",
            "telephone_number": "540-272-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 STAFFORD AVE",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547246",
            "telephone_number": "540-658-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALISZ",
        "first_name": "KAITLYN",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2019-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119007379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0119007379",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Enamul Hoq Kahn, M.D.
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Colonial Forge Medical Center)
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente Colonial Forge Pharmacy)
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Colonial Forge Medical Center Laboratory)
• Kaleidoscope Counseling, LLC
• Humie Marie Kamara
• Keturah Kamara, PHARMD
• Christie Kamenga
• Kanchan Smiles Inc (Karande Dental Care)
• Stacy Lei Kaniut

• Occupational Therapist in Stafford, VA
• Providers in Stafford, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; 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.