NPI 1093673972 · live from the CMS NPI Registry
Kristen Asencio
Occupational Therapist in Fuquay Varina, NC. National Provider Identifier 1093673972, active.
NPI record
| NPI | 1093673972 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 304 Judd Place Dr, Fuquay Varina, NC 27526 |
| Practice phone | 919-557-8305 |
| Enumerated | January 12, 2026 |
| Last updated | January 26, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | OT22001 (FL) |
| Occupational Therapist primary | 225X00000X | 18120 (NC) |
| Occupational Therapist | 225X00000X | 46TR00251900 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.