MEDICARE: KRISTIN JONES MSOT/OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	24960	FL

General Provider Information

NPI Number	:	1053634576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN JONES MSOT/OTR/L

Provider Business Mailing Address
First Line	:	695 VERBENIA DR
Second Line	:
City	:	SATELLITE BEACH
State	:	FL
Zip	:	32937-2545
Country	:	US
Telephone Number	:	270-871-5661
Fax Number	:

Provider Business Practice Location Address
First Line	:	695 VERBENIA DR
Second Line	:
City	:	SATELLITE BEACH
State	:	FL
Zip	:	32937-2545
Country	:	US
Telephone Number	:	270-871-5661
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2010
Last Update Date	:	01/25/2026

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