Active NPI
Kaitlyn Wuest, MS, OTR/L
- Occupational Therapist
- Melbourne, FL
National Provider Identifier
1801534391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 22838
- Practice address
- 2261 Town Center Ave Ste 109
Melbourne, FL 32940-6106 - Phone
- (321) 255-7779
- NPI assigned
- May 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 22838 | FL | Primary |
Addresses
Primary practice location
2261 Town Center Ave Ste 109
Melbourne, FL 32940-6106
Mailing address
641 Heather Stone Dr
Merritt Island, FL 32953-4341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22838 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1801534391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 HEATHER STONE DR",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329534341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2261 TOWN CENTER AVE STE 109",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329406106",
"telephone_number": "321-255-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUEST",
"first_name": "KAITLYN",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-24",
"last_updated": "2022-05-24",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "22838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.