Kirstin Lynn Conrad, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC003087L Issued in PA

Practice address

2401 Research Blvd
Suite 109
Rockville, MD 20850-3215

Phone

(301) 337-6921

Fax

(301) 657-5651

NPI assigned

Aug 7, 2015

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

• Kirstin Lynn Brubaker Professional name

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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1871979278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 HERMITAGE HILLS DR",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210542005",
            "telephone_number": "717-468-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RESEARCH BLVD",
            "address_2": "SUITE 109",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503215",
            "telephone_number": "301-337-6921",
            "fax_number": "301-657-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "KIRSTIN",
        "middle_name": "LYNN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC003087L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTIN",
            "last_name": "BRUBAKER",
            "middle_name": "LYNN",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Margaret Ann Connors, CRNP
• Christina Conolly-Chester, PSY.D
• Anastasia P Conover, M.S., R.D
• Addyson Conrad
• Debra Conrad
• Katherine Consoli
• Glenda Constanza Gonzalez
• Lance Contee
• Abubakarr Conteh
• Ahmad Conteh

• Occupational Therapist in Rockville, MD
• Providers in Rockville, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.