Active NPI
Kristina Fender, OTR/L
- Pediatric Occupational Therapist
- Belmont, CA
National Provider Identifier
1881055218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 14790
- Practice address
- 751 Alameda de Las Pulgas
Belmont, CA 94002-1606 - Phone
- (650) 592-1112
- Fax
- (186) 681-4778
- NPI assigned
- Mar 12, 2016
- Last updated
- Mar 12, 2016
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 14790 | CA | Primary |
Addresses
Primary practice location
751 Alameda de Las Pulgas
Belmont, CA 94002-1606
Mailing address
751 Alameda de Las Pulgas
Belmont, CA 94002-1606
Phone (650) 592-1112
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OT 4 Kids Collective, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457740800000",
"number": "1881055218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 ALAMEDA DE LAS PULGAS",
"city": "BELMONT",
"state": "CA",
"postal_code": "940021606",
"telephone_number": "650-592-1112",
"fax_number": "186-681-4778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 ALAMEDA DE LAS PULGAS",
"city": "BELMONT",
"state": "CA",
"postal_code": "940021606",
"telephone_number": "650-592-1112",
"fax_number": "186-681-4778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENDER",
"first_name": "KRISTINA",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-12",
"last_updated": "2016-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "14790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belmont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.