Kirstin Luke

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1451 Issued in CT

Practice address

88 Secret Hollow Rd
Monroe, CT 06468-1284

Phone

(203) 268-0198

NPI assigned

Nov 22, 2013

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

Other names 1

• Elizabeth Kirstin Luke Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1851721112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 SECRET HOLLOW RD",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064681284",
            "telephone_number": "203-268-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 SECRET HOLLOW RD",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064681284",
            "telephone_number": "203-268-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKE",
        "first_name": "KIRSTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "1451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "LUKE",
            "middle_name": "KIRSTIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Occupational Therapy Assistant in Monroe, CT
• Providers in Monroe, CT by specialty
• Occupational Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.