Individual provider Active NPI

Kristin Lynn Pavel, OTR/L

  • Occupational Therapist
  • Philadelphia, PA
National Provider Identifier
1891106571
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC013267 Issued in PA
Practice address
1104 Welsh Rd
Philadelphia, PA 19115-3730
Phone
(215) 676-9191
NPI assigned
May 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC013267 PA Primary

Addresses

Primary practice location

1104 Welsh Rd
Philadelphia, PA 19115-3730

Mailing address

290 Byberry Rd Unit 7
Philadelphia, PA 19116-4028
Phone (215) 518-4003

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

State licenses

LicenseStateTypeSpecialty
OC013267PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1891106571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BYBERRY RD UNIT 7",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191164028",
            "telephone_number": "215-518-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 WELSH RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153730",
            "telephone_number": "215-676-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVEL",
        "first_name": "KRISTIN",
        "middle_name": "LYNN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC013267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.