Active NPIIndividual provider

Kirt C Van, COTA

Occupational Therapy Assistant in East Providence, Rhode Island

NPI Number1245441930
Practice location
1 Evergreen Dr, East Providence, RI 02914-1503
Fax
401-438-4813
Last updated
July 8, 2007

Kirt Carl Van is an Occupational Therapy Assistant based in East Providence, RI. Kirt Carl Van practices in East Providence, RI and has the professional credentials of COTA. The NPI Number for Kirt Carl Van is 1245441930 and holds a License No. ota00055 (RI). The current practice location address for Kirt Carl Van is 1 Evergreen Dr, East Providence, RI 02914-1503 and can be reached out via phone at 401-438-3250 and via fax at 401-438-4813.

Provider Profile Details

NPI Number
1245441930
Provider Name
Kirt Carl Van
Credential
COTA
Provider Entity Type
Individual
Gender
Male
Address
1 Evergreen Dr, East Providence, RI 02914-1503
Phone Number
401-438-3250
Fax Number
401-438-4813
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
May 24, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Evergreen Dr
East Providence, RI 02914-1503
Zip
02914-1503
Phone Number
401-438-3250
Fax Number
401-438-4813
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
140 Raphael Ave
Providence, RI 02904-1309
City
Providence
State
RI
Zip
02904-1309
Phone Number
508-269-5971

License Information

License Number
ota00055
License State
RI
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kirt C Van, COTA?

The NPI number of Kirt C Van, COTA is 1245441930. It was assigned on May 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Kirt C Van, COTA?

Kirt C Van, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in RI under license number ota00055.

Where does Kirt C Van, COTA practice?

The practice location is 1 Evergreen Dr, East Providence, RI 02914-1503. The office can be reached at 401-438-3250 (phone) or 401-438-4813 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245441930 directly on the NPPES registry website.

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