Kirstin Amber Peters, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

9346 Oak Ave
Waconia, MN 55387-9422

Phone

(952) 223-2506

NPI assigned

Sep 10, 2020

Last updated

Sep 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Lazarus Project

  dba The Children's Autism Rehabilitation Education,

  • Developmentally Disabled Services Day Training Agency
  • Mendota Heights, MN
  • NPI 1003908260
  NPD (past)

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1023623790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 COUNTRYWOOD LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537195060",
            "telephone_number": "608-358-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9346 OAK AVE",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553879422",
            "telephone_number": "952-223-2506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15265 Minnetonka Blvd",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553451510",
            "country_code": "US",
            "telephone_number": "952-223-2506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5232 Kyler Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albertville",
            "state": "MN",
            "postal_code": "553014634",
            "country_code": "US",
            "telephone_number": "952-223-2506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2605 Fernbrook Ln N Ste E",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554474736",
            "country_code": "US",
            "telephone_number": "763-519-1197",
            "fax_number": "763-519-1198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2520 Pilot Knob Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Mendota Heights",
            "state": "MN",
            "postal_code": "551201152",
            "country_code": "US",
            "telephone_number": "651-452-1500",
            "fax_number": "651-452-1502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KIRSTIN",
        "middle_name": "AMBER",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpeters4@wisc.edu",
            "affiliation": "N",
            "address_1": "9346 Oak Ave",
            "city": "Waconia",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553879422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Michael Peitersen, MD
• Brandon James Penaz, DDS
• Abbigail Pepka
• Brittney J Perlich, CCC - SLP
• Kelly Ann Peters, MA OTR/L
• Gregory Matthew Peterson, M.D.
• Mark C Peterson
• Boriana I Petkov, MD
• Robin Lee Petrich, APRN
• To Uyen T Pham

• Occupational Therapist in Waconia, MN
• Providers in Waconia, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.