Individual provider Active NPI

Kristin Law, OTR/L, CLT, WCC

  • Occupational Therapist
  • Willow Grove, PA
National Provider Identifier
1225491996
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC009781 Issued in PA
Practice address
709 Easton Rd
Suite 1 South
Willow Grove, PA 19090-2069
Phone
(215) 659-1137
Fax
(215) 659-1147
NPI assigned
Mar 31, 2016
Last updated
Jan 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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 OC009781 PA Primary

Addresses

Primary practice location

709 Easton Rd
Suite 1 South
Willow Grove, PA 19090-2069

Mailing address

709 Easton Rd Ste 1
Willow Grove, PA 19090-2069
Phone (215) 659-1137

Other identifiers 1

IdentifierTypeStateIssuer
103136373-0001MedicaidPA

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1225491996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 EASTON RD STE 1",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902069",
            "telephone_number": "215-659-1137",
            "fax_number": "215-659-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 EASTON RD",
            "address_2": "SUITE 1 SOUTH",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902069",
            "telephone_number": "215-659-1137",
            "fax_number": "215-659-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAW",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, CLT, WCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC009781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103136373-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.