NPIMap

Kristina Carmen Guerrero, OTR/L

Individual provider Active NPI Occupational Therapist · Colchester, VT

NPI 1124375407 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1124375407
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
072.0115952 (VT)
Practice address
790 College Pkwy
Colchester, VT 05446-3007
Phone
(802) 847-5387
NPI assigned
Aug 6, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
REGISTEREDCOMDOccupational Therapist
296592ORMDOccupational Therapist
072.0115952VTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 296592 OR
Occupational Therapist 225X00000X REGISTERED CO
Occupational Therapist 225X00000X 072.0115952 VT Yes

Addresses

Primary practice location

790 College Pkwy
Colchester, VT 05446-3007

Mailing address

792 College Pkwy Ste 103
Colchester, VT 05446-3052
Phone (802) 847-7461

Other practice location 1

2109 NW Irving St
309
Portland, OR 97210-3280
Phone (719) 205-3350

Other providers in Colchester, VT

All providers in Colchester, VT · Occupational Therapist in Vermont

Sources for this page

Verify at the official NPI Registry.