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

Individual provider Occupational Therapist · NPI 1497101943

Kiran C Hansberry is an Occupational Therapist in Jacksonville, Florida. Practices as a sole proprietor and works from 3 locations. Licensed in Florida and Maryland.

Licensed in
FL, MD
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

11512 Lake Mead Ave Unit 604
Jacksonville, FL 32256-9686
Phone: (904) 652-5408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1000 W Broadway St Ste 214, Oviedo, FL 32765-9262 — (407) 359-5693
  • 5119 Crystal Park Ln, Ellicott City, MD 21043-7947 — (888) 265-2680

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT20423 (FL)
Occupational Therapist Taxonomy 225X00000X · Licence 07798 (MD)

Record details

NPI number1497101943
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 13, 2016
Last updated in NPPESSeptember 4, 2020
Certification dateSeptember 4, 2020

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