Active NPI
Terrylee Kraemer, OTR
- Hand Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1215165139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 1612
- Practice address
- 12808 N Black Canyon Hwy
Phoenix, AZ 85029-1346 - Phone
- (602) 375-1155
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 1612 | AZ | Primary |
Addresses
Primary practice location
12808 N Black Canyon Hwy
Phoenix, AZ 85029-1346
Mailing address
8326 E Rawhide TRL
Tucson, AZ 85750-9640
Phone (520) 749-8313
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1612 | AZ | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246320000000",
"number": "1215165139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8326 E RAWHIDE TRL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857509640",
"telephone_number": "520-749-8313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12808 N BLACK CANYON HWY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850291346",
"telephone_number": "602-375-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAEMER",
"first_name": "TERRYLEE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2009-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "AZ",
"license": "1612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.