Kevin Kisiedu, OT - Occupational Therapist in Fairfax, VA

Kevin Kisiedu, OT is a Occupational Therapist based in Fairfax, Virginia. Kevin Kisiedu is licensed to practice in Virginia (license number 0119-009208) and his current practice location is 8501 Arlington Blvd, Fairfax, Virginia. He can be reached at his office (for appointments etc.) via phone at (703) 205-1919.

NPI number for Kevin Kisiedu is 1760156038 and his current mailing address is 16740 Flotilla Way, Woodbridge, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760156038.

Contact Information

Kevin Kisiedu, OT
8501 Arlington Blvd,
Fairfax, VA 22031-4617
(703) 205-1919
Not Available



Healthcare Provider's Profile

Full NameKevin Kisiedu
GenderMale
SpecialityOccupational Therapist
Location8501 Arlington Blvd, Fairfax, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1760156038
  • Provider Enumeration Date: 08/02/2021
  • Last Update Date: 09/01/2021

Medical Identifiers

Medical identifiers for Kevin Kisiedu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760156038NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 0119-009208 (Virginia)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. Kevin Kisiedu 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 AddressPractice Location Address
Kevin Kisiedu, OT
16740 Flotilla Way,
Woodbridge, VA 22191-6301

Ph: () -
Kevin Kisiedu, OT
8501 Arlington Blvd,
Fairfax, VA 22031-4617

Ph: (703) 205-1919

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› Verified 4 days ago


Occupational Therapist in Fairfax, VA

Judy D. Feingold, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3900 Jermantown Rd Ste 250, Fairfax, VA 22030
Phone: 703-910-5006    Fax: 888-314-6706
Alice Blair,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9685 Main St Ste B, Fairfax, VA 22031
Phone: 703-978-8400    Fax: 703-978-9898
Sarah Tatlonghari,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 11240 Waples Mill Rd, Suite 202, Fairfax, VA 22030
Phone: 703-237-2219    
Carly Nassereh Ettefagh, MSOT, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031
Phone: 401-835-3265    
Samantha Hamlin,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8270 Willow Oaks Corporate Dr # 2120, Fairfax, VA 22031
Phone: 571-423-4864    
Jaclyn Rotier, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 12475 Lee Jackson Memorial Hwy, Fairfax, VA 22033
Phone: 408-439-4160    
Rebecca Learned Lambright, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 11240 Waples Mill Rd, Fairfax, VA 22030
Phone: 703-237-2219    Fax: 703-237-2729

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