Individual provider Active NPI

Brenna Krogman, OT

  • Pediatric Occupational Therapist
  • Tacoma, WA
National Provider Identifier
1225717200
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
70014967 Issued in WA
Practice address
315 129TH St S
Tacoma, WA 98444-5044
Phone
(253) 298-3000
NPI assigned
Jul 17, 2023
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 123757 TX
Pediatric Occupational Therapist 225XP0200X 70014967 WA Primary

Addresses

Primary practice location

315 129TH St S
Tacoma, WA 98444-5044

Mailing address

11557 174TH St E
Puyallup, WA 98374-9452

Other practice location 1

3001 S Jackson St
San Angelo, TX 76904-5129
Phone (325) 223-6300

Other identifiers 2

IdentifierTypeStateIssuer
123757MedicaidTX
123757OtherTXCOMMERCIALS

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

LicenseStateTypeSpecialty
123757TXMDOccupational Therapist
70014967WAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1225717200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11557 174TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983749452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 129TH ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984445044",
            "telephone_number": "253-298-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769045129",
            "country_code": "US",
            "telephone_number": "325-223-6300",
            "fax_number": "325-793-3587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROGMAN",
        "first_name": "BRENNA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "123757",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "70014967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123757",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIALS",
            "identifier": "123757",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.