Individual provider Active NPI

Jennifer L Kraeuter, OTR/L

  • Pediatric Occupational Therapist
  • Princeton, NJ
National Provider Identifier
1053574384
Registry record updated May 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR00233900 Issued in NJ
Practice address
219 Wall St
Princeton, NJ 08540-1512
Phone
(609) 921-1555
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00233900 NJ
Pediatric Occupational Therapist 225XP0200X 46TR00233900 NJ Primary

Addresses

Primary practice location

219 Wall St
Princeton, NJ 08540-1512

Mailing address

219 Wall St
Princeton, NJ 08540-1512
Phone (609) 921-1555

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
46TR00233900NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Otapkids LLC Pediatrics CurrentSince Jun 22, 2021 Accepting new patients
Occupational Therapy Associates of Princeton Pediatrics PastSince Jun 22, 2021 Accepting new patients

Locations

219 Wall St
Princeton, NJ 08540
Phone 6097219234 ext. 60972

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621728000000",
    "number": "1053574384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 WALL ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401512",
            "telephone_number": "609-921-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 WALL ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401512",
            "telephone_number": "609-921-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAEUTER",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2021-05-23",
        "certification_date": "2021-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00233900",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00233900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; 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.