Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Kisiedu, OT

Individual provider Occupational Therapist · NPI 1760156038

Kevin Kisiedu, OT is an Occupational Therapist in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2021.

Licensed in
VA
In the registry since
2021
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

8501 Arlington Blvd
Fairfax, VA 22031-4617
Phone: (703) 205-1919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 0119-009208 (VA)

Record details

NPI number1760156038
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorNo
NPI enumeratedAugust 2, 2021
Last updated in NPPESSeptember 1, 2021
Certification dateSeptember 1, 2021

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