Organization Active NPI

Kristina Caron Occupational Therapy, LLC

  • Occupational Therapist
  • Kennebunk, ME
National Provider Identifier
1902155005
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 1451 Issued in ME
Legal business name
KRISTINA CARON OCCUPATIONAL THERAPY, LLC
Practice address
27 Fletcher St Apt 2
Kennebunk, ME 04043
Phone
(207) 939-0148
NPI assigned
Sep 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Miss Kristina G. Caron, MS, OTR/C
Title
Owner/Member
Phone
(207) 939-0148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT 1451 ME Primary

Addresses

Primary practice location

27 Fletcher St Apt 2
Kennebunk, ME 04043

Mailing address

27 Fletcher St Apt 2
Kennebunk, ME 04043
Phone (207) 939-0148

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1902155005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 FLETCHER ST APT 2",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "04043",
            "telephone_number": "207-939-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 FLETCHER ST APT 2",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "04043",
            "telephone_number": "207-939-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA CARON OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "CARON",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "207-939-0148",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS, OTR/C"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT 1451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.