Kristen Victoria Premus, DROT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC01 Issued in PA

Practice address

475 Spring LN
Philadelphia, PA 19128-3918

Phone

(215) 482-5353

NPI assigned

Aug 26, 2016

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246

  Occupational Therapist

  NPD
• The Renfrew Centers, Inc.

  • Adult Mental Health Clinic/Center
  • Philadelphia, PA
  • NPI 1417971904
  NPD (past)

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1073069423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LINDIS FARNE AVE",
            "address_2": "#1103",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SPRING LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283918",
            "telephone_number": "215-482-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREMUS",
        "first_name": "KRISTEN",
        "middle_name": "VICTORIA",
        "credential": "DROT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premium Home Health LLC
• Premium Medical Care Inc
• Premium Touch of Care Enterprises, LLC
• Premiumhomehealth LLC
• Cynthia Prempeh
• Emily Prencipe, PA-C
• Alexander Nicholas Prendergast, DO
• Amanda Prendergast
• Patricia Prendergast, CCC-SLP
• Joshua Caleb Prenner, MD

• Occupational Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.