Active NPI
Krystal Trask
- Occupational Therapist
- Randolph, VT
National Provider Identifier
1285092676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 72.0087327
- Practice address
- 4 Franklin St Apt 2
Randolph, VT 05060-1178 - Phone
- (802) 431-3331
- NPI assigned
- Feb 1, 2016
- Last updated
- Feb 1, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 72.0087327 | VT | Primary |
Addresses
Primary practice location
4 Franklin St Apt 2
Randolph, VT 05060-1178
Mailing address
4 Franklin St Apt 2
Randolph, VT 05060-1178
Phone (802) 431-3331
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72.0087327 | VT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1285092676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 FRANKLIN ST APT 2",
"city": "RANDOLPH",
"state": "VT",
"postal_code": "050601178",
"telephone_number": "802-431-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 FRANKLIN ST APT 2",
"city": "RANDOLPH",
"state": "VT",
"postal_code": "050601178",
"telephone_number": "802-431-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRASK",
"first_name": "KRYSTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-01",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VT",
"license": "72.0087327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randolph, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.