Individual provider Active NPI

Caroline Ann Kracium, CTRS

  • Recreation Therapist
  • Ossian, IN
National Provider Identifier
1124496096
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
License
47135 Issued in IN
Practice address
8906 N 150 E
Ossian, IN 46777-9111
Phone
(260) 409-1332
NPI assigned
Sep 9, 2015
Sex
Female
Sole proprietor
Yes

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
47135INMDRecreation Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 47135 IN Primary

Addresses

NPPES NPI Registry

Primary practice location

8906 N 150 E
Ossian, IN 46777-9111

Mailing address

8906 N 150 E
Ossian, IN 46777-9111
Phone (260) 409-1332

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2015.

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1124496096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 N 150 E",
            "city": "OSSIAN",
            "state": "IN",
            "postal_code": "467779111",
            "telephone_number": "260-409-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 N 150 E",
            "city": "OSSIAN",
            "state": "IN",
            "postal_code": "467779111",
            "telephone_number": "260-409-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRACIUM",
        "first_name": "CAROLINE",
        "middle_name": "ANN",
        "credential": "CTRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "IN",
            "license": "47135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ossian, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.