Kickstart Pediatric Therapy, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

KICKSTART PEDIATRIC THERAPY, LLC

Practice address

185 Crescent St Apt 412
Waltham, MA 02453-3498

Phone

(315) 408-1337

NPI assigned

Mar 13, 2022

Organization subpart

Yes

Parent organization

KICKSTART PEDIATRIC THERAPY, LLCAs reported in NPPES

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

Authorized official

Name

Kristen K Stewart, MS, OTR/LNPI 1437496445

Title

Occupational Therapist

Phone

(315) 408-1337

Specialties & licenses 1

Addresses

Other names 1

• Kristen Stewart Former legal business name

Part of

Kickstart Pediatric Therapy LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen K. Stewart, M.S. OTR/L

  • Pediatric Occupational Therapist
  • Waltham, MA
  • NPI 1437496445
  NPD Authorized official

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

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647129600000",
    "number": "1740938448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CRESCENT ST APT 412",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533498",
            "telephone_number": "315-408-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CRESCENT ST APT 412",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533498",
            "telephone_number": "315-408-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KICKSTART PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KICKSTART PEDIATRIC THERAPY, LLC",
        "enumeration_date": "2022-03-13",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-13",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "315-408-1337",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kristen Stewart",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kiran Khan, RPH
• Mohammad Abrar Salaam Khan
• Gagan Singh Khera, PHD
• Wissam J Khoory, M.D.
• Igor Khuzeykin, DPT
• Malorie Kiehl, OTR/L
• Rose N Kikoyo
• Kerry Lynn Kilroy, APRN-BC
• Albert Y Kim, FNP-C
• Mina Kim

• Occupational Therapist in Waltham, MA
• Providers in Waltham, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2022; 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.