Individual provider Active NPI

Kaitlyn Krejdovski, OTR/L

  • Occupational Therapist
  • Doylestown, PA
National Provider Identifier
1003502899
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01115300 Issued in NJ
Practice address
708 N Shady Retreat Rd Ste 8
Doylestown, PA 18901-2503
Phone
(215) 620-7121
NPI assigned
Apr 13, 2023
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR01115300 NJ Primary

Addresses

Primary practice location

708 N Shady Retreat Rd Ste 8
Doylestown, PA 18901-2503

Mailing address

708 N Shady Retreat Rd Ste 8
Doylestown, PA 18901-2503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46TR01115300NJMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1003502899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 N SHADY RETREAT RD STE 8",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N SHADY RETREAT RD STE 8",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012503",
            "telephone_number": "215-620-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREJDOVSKI",
        "first_name": "KAITLYN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01115300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.