Kirston Clinton, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6796 Issued in TN

Practice address

112 Airport Business Park Dr Ste F
Shelbyville, TN 37160-7453

Phone

(931) 685-8730

NPI assigned

Feb 12, 2021

Last updated

Feb 12, 2021By 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

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": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1770176505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 AIRPORT BUS PARK DR STE F",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607453",
            "telephone_number": "931-685-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 AIRPORT BUSINESS PARK DR STE F",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607453",
            "telephone_number": "931-685-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "KIRSTON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Clement
• Clements Dental PLLC
• Tara Amanda Clements, D.D.S.
• Kelly Clifford
• Olivia Clifton, PT
• Tiffany Coggins, FNP-C
• Dustin Tait Coker, B.S.
• Robert James Colasso, PT
• George H. Collins, M.D.
• Community Clinic Shelbyville and Bedford Co.Inc., (Community Clinic Shelbyville and Bedford Co.)

• Occupational Therapist in Shelbyville, TN
• Providers in Shelbyville, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.