Kristian Marie Porco, MSOTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT 13339 Issued in FL

Practice address

3947 Promenade Square Dr Apt 4014
Orlando, FL 32837-3373

Phone

(954) 348-2392

NPI assigned

Jan 9, 2009

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566691200000",
    "number": "1962649103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 NW 1ST MNR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172271",
            "telephone_number": "352-613-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3947 PROMENADE SQUARE DR APT 4014",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328373373",
            "telephone_number": "954-348-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCO",
        "first_name": "KRISTIAN",
        "middle_name": "MARIE",
        "credential": "MSOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2019-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 13339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Popovitz-Gale, PSY.D.
• Olivia Poppen
• Rodrigo Porciuncula Jacobucci, MD
• Jenna Porco
• Jessica Marie Porco
• Poris Plastic Surgery, LLC
• Stephenie Layne Poris, M.D.
• Alyzza Leslie Porrata-Doria, SLPA
• Audrey Alanna Port, DMD
• Porta Nova Homemaker Companion Services

• Pediatric Occupational Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2019; 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.