Kristen Brevoort, is a 
Occupational Therapist - Pediatrics based in Lockland, Ohio. Kristen Brevoort is licensed to practice in Ohio (license number OT006973) and her current practice location is 
200 N Cooper Ave, Lockland, Ohio. She can be reached at her office (for appointments etc.) via phone at 
(513) 563-5000.
NPI number for Kristen Brevoort is 1407330178 and her current mailing address is 1778 Robinway Dr, Cincinnati, Ohio. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407330178.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Kristen Brevoort | 
|---|
| Gender | Female | 
|---|
| Speciality | Occupational Therapist - Pediatrics | 
|---|
| Location | 200 N Cooper Ave, Lockland, Ohio | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1407330178
 - Provider Enumeration Date: 09/19/2018
 - Last Update Date: 09/19/2018
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Kristen Brevoort such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1407330178 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 225XP0200X | Occupational Therapist - Pediatrics  | OT006973 (Ohio) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristen Brevoort is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Kristen Brevoort, 1778 Robinway Dr, Cincinnati, OH 45230-2240 Ph: () - | Kristen Brevoort, 200 N Cooper Ave, Lockland, OH 45215-3011 Ph: (513) 563-5000 | 
		
		 
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