Kirstin P Mink, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

OC004572L Issued in PA

Practice address

320 S Market St
Elizabethtown, PA 17022-2422

Phone

(717) 367-1377

Fax

(717) 367-1290

NPI assigned

Sep 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Mennonite Home

  • Physical Therapy Clinic/Center
  • Lancaster, PA
  • NPI 1093053910
  Medicare reassignment NPD

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1942450655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S MARKET ST",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222422",
            "telephone_number": "717-367-1377",
            "fax_number": "717-367-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S MARKET ST",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222422",
            "telephone_number": "717-367-1377",
            "fax_number": "717-367-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINK",
        "first_name": "KIRSTIN",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "PA",
            "license": "OC004572L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Meck, M.D.
• Luna Metayer Belizaire, CRNP
• Carrie Meyer, CRNP
• Megan E Meyer
• Alexander David Miller, PA-C
• Valerie Minnich II
• Valerie Minnich, NCC
• Dorene L Moore, NURSE PRACTITIONER
• Kayshen Morel
• Olivia Taylor Morris

• Gerontology Occupational Therapist in Elizabethtown, PA
• Providers in Elizabethtown, PA by specialty
• Gerontology Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.