Kristin Marie Libby, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

11674 Issued in FL

Practice address

5419 Flagler St
Hollywood, FL 33021

Phone

(573) 579-7047

NPI assigned

Feb 2, 2015

Last updated

Jul 28, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532736000000",
    "number": "1750771598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 FLAGLER ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218005",
            "telephone_number": "573-579-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 FLAGLER ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "573-579-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2018-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "11674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Maite Leyva Figueras
• Alberto Leyva
• Maybel Leza
• LFT Management, Inc.
• Lib Experience LLC
• Chad Libraty
• Marshall M Lieber, M.P.T.
• Carol B. Lieberman, ARNP
• Yennis Liermo, APRN
• Life Balance Support Services Inc

• Occupational Therapy Assistant in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2018; 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.