Individual provider Active NPI

Andrew T Kratt, MS OTR/L

  • Occupational Therapist
  • Virginia Beach, VA
National Provider Identifier
1194036004
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119004555 Issued in VA
Practice address
845 First Colonial Rd
Apt 119- Genesis Rehab Services
Virginia Beach, VA 23451-6160
Phone
(757) 321-9292
NPI assigned
Jun 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119004555 VA Primary

Addresses

Primary practice location

845 First Colonial Rd
Apt 119- Genesis Rehab Services
Virginia Beach, VA 23451-6160

Mailing address

5836 Baynebridge Dr
Virginia Beach, VA 23464-1554
Phone (757) 567-1221

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0119004555VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Occupational Therapist Past Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist Past Accepting new patients

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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1194036004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5836 BAYNEBRIDGE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234641554",
            "telephone_number": "757-567-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 FIRST COLONIAL RD",
            "address_2": "APT 119- GENESIS REHAB SERVICES",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516160",
            "telephone_number": "757-321-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRATT",
        "first_name": "ANDREW",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119004555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.