Peter Kralik, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

256305 Issued in OR

Practice address

1200 Mira Mar Ave
Rogue Valley Manor
Medford, OR 97504

Phone

(541) 857-7432

Fax

(541) 857-7149

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763856000000",
    "number": "1285841494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY STE 100",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972224628",
            "telephone_number": "971-206-5129",
            "fax_number": "971-206-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MIRA MAR AVE",
            "address_2": "ROGUE VALLEY MANOR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-857-7432",
            "fax_number": "541-857-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRALIK",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2025-11-23",
        "certification_date": "2025-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OR",
            "license": "256305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Michael Kovalyak
• Karen Ann Kozleski, MSN, FNP
• Barbara H Kozol, OT
• Alexander Christopher Krach, RN
• Karen Ann Kralik, PTA
• Andy Jon Kranenburg, M.D.
• Taylor Krehbiel, LPC
• Brian Kreul, MD
• Kimberly Dawn Kreutzer, LMT
• Robert Alan Krevitz, BACHELOR OF ARTS

• Occupational Therapy Assistant in Medford, OR
• Providers in Medford, OR by specialty
• Occupational Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2025; 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.