Active NPI
Christine Kroll, MS, OTR
- Occupational Therapist
- Indianapolis, IN
National Provider Identifier
1053468355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31000109A
- Practice address
- 5214 S East St
Indianapolis, IN 46227-1917 - Phone
- (317) 780-3737
- Fax
- (317) 780-3738
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31000109A | IN | Primary |
Addresses
Primary practice location
5214 S East St
Indianapolis, IN 46227-1917
Mailing address
1528 Chase Blvd
Greenwood, IN 46142-1559
Phone (317) 885-0545
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31000109A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053468355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 CHASE BLVD",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421559",
"telephone_number": "317-885-0545",
"fax_number": "317-780-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5214 S EAST ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271917",
"telephone_number": "317-780-3737",
"fax_number": "317-780-3738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROLL",
"first_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "MS, OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31000109A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.