Active NPI
Kaitlyn Fieseler, OT
- Pediatric Occupational Therapist
- San Diego, CA
National Provider Identifier
1922426311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 14580
- Practice address
- 11838 Bernardo Plaza CT
Suite 110
San Diego, CA 92128-2413 - Phone
- (858) 673-5437
- Fax
- (858) 673-5434
- NPI assigned
- Apr 2, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 14580 | CA | Primary |
Addresses
Primary practice location
11838 Bernardo Plaza CT
Suite 110
San Diego, CA 92128-2413
Mailing address
11838 Bernardo Plaza Court
Suite 110
San Diego, CA 92128
Phone (973) 714-4164
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14580 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hardy and Lukes Physical Therapy, Inc. | Past | Accepting new patients | |
| Cortica Healthcare Inc | Past | Accepting new patients | |
| K.I.D.S. Therapy Associates, Inc., a Physical Therapy Corporation | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- San Diego, CA
- NPI 1801288535
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1356013650
-
- Pediatric Physical Therapist
- San Diego, CA
- NPI 1598724577
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1922426311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11838 BERNARDO PLAZA COURT",
"address_2": "SUITE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92128",
"telephone_number": "973-714-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11838 BERNARDO PLAZA CT",
"address_2": "SUITE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282413",
"telephone_number": "858-673-5437",
"fax_number": "858-673-5434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIESELER",
"first_name": "KAITLYN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-02",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "14580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.