Active NPIIndividual provider

Kaitlin Dierksheide, OTR/L

Occupational Therapist, Pediatrics in Waltham, Massachusetts

NPI Number1659120608
Practice location
220 Bear Hill RD Ste 101, Waltham, MA 02451-1004
Fax
—
Last updated
May 14, 2024

Kaitlin Dierksheide is an Occupational Therapist, Pediatrics based in Waltham, MA. Kaitlin Dierksheide practices in Waltham, MA and has the professional credentials of OTR/L. The NPI Number for Kaitlin Dierksheide is 1659120608 and holds a License No. OTL14589 (MA). The current practice location address for Kaitlin Dierksheide is 220 Bear Hill RD Ste 101, Waltham, MA 02451-1004 and can be reached out via phone at 781-790-8479.

Provider Profile Details

NPI Number
1659120608
Provider Name
Kaitlin Dierksheide
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
220 Bear Hill RD Ste 101, Waltham, MA 02451-1004
Phone Number
781-790-8479
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
No
Provider Enumeration Date
May 14, 2024
Last Update Date
May 14, 2024
Certification Date
May 14, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
220 Bear Hill RD Ste 101
Waltham, MA 02451-1004
Zip
02451-1004
Phone Number
781-790-8479
Waltham, MA 02451Get directions →

Provider Business Mailing Address Details

Address
466 Commercial St Apt 5
Boston, MA 02109-1056
City
Boston
State
MA
Zip
02109-1056

License Information

License Number
OTL14589
License State
MA
Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X · 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 Kaitlin Dierksheide, OTR/L?

The NPI number of Kaitlin Dierksheide, OTR/L is 1659120608. It was assigned on May 14, 2024 and is currently active in the NPPES registry.

What is the specialty of Kaitlin Dierksheide, OTR/L?

Kaitlin Dierksheide, OTR/L is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in MA under license number OTL14589.

Where does Kaitlin Dierksheide, OTR/L practice?

The practice location is 220 Bear Hill RD Ste 101, Waltham, MA 02451-1004. The office can be reached at 781-790-8479 (phone).

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 1659120608 directly on the NPPES registry website.

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