Kristy Marie Bockrath, OTR/L CHT

Individual provider Active NPI Occupational Therapist · Greenfield, OH

NPI 1144810656 · NPPES record last updated Jan 20, 2021

Key facts

NPI
1144810656
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT3625 (OH)
Practice address
550 Mirabeau St
Greenfield, OH 45123-1617
Phone
(937) 981-9284
Fax
(937) 981-4442
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
No

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
OT3625OHMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT3625 OH Yes

Addresses

Primary practice location

550 Mirabeau St
Greenfield, OH 45123-1617

Mailing address

12919 Bennett Rd
Greenfield, OH 45123-9209
Phone (937) 361-6590

Other practice location 1

599 Harry Sauner Rd
Hillsboro, OH 45133-7631
Phone (937) 393-7668

Other providers in Greenfield, OH

All providers in Greenfield, OH · Occupational Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.