Lisa Krejci, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT61014543 Issued in WA

Practice address

1407 Boalch Ave NW
North Bend, WA 98045-7994

Phone

(425) 888-2777

NPI assigned

Sep 29, 2015

Last updated

Jun 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Encompass Northwest

  dba Encompass

  • Developmental Disabilities Clinic/Center
  • Snoqualmie, WA
  • NPI 1346389053

  Occupational Therapist

  NPD (past)
• Mountain View Pediatric Speech & Language

  • Speech-Language Pathologist
  • North Bend, WA
  • NPI 1730217084
  NPD (past)

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1205206695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 BOALCH AVE NW",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980457994",
            "telephone_number": "425-888-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 BOALCH AVE NW",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980457994",
            "telephone_number": "425-888-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S Monroe St",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951285106",
            "country_code": "US",
            "telephone_number": "615-734-9983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREJCI",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 15231",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT61014543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Knudten, MS, CCC-SLP
• Bonnie Koenig, LAC
• Kimberly Anne Kohr, DC
• Julie Kristen Korssjoen, LMP
• Martina Kowalke, LMP
• Ishan Kulkarni
• Heather Aeron Lelas, L.M.P.
• Jeanette Linder, LICSW
• Little Si Acupuncture & East Asian Medicine Clinic, LLC (Little Si Acupuncture, LLC)
• Dominic Lucia, LMT

• Pediatric Occupational Therapist in North Bend, WA
• Providers in North Bend, WA by specialty
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.