Krystal Rene Butgereit, MOT,OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT1323 Issued in ND

Practice address

101 3Rd Ave SW
Suite 102
Minot, ND 58701-3880

Phone

(701) 857-5286

Fax

(701) 857-5694

NPI assigned

Jun 4, 2013

Last updated

Apr 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Prairie Grit Adaptive Sports

  • Clinic/Center
  • Minot, ND
  • NPI 1417577693

  Occupational Therapist

  NPD Authorized official

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1295172997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BURDICK EXPY W",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014406",
            "telephone_number": "701-857-5286",
            "fax_number": "701-857-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 3RD AVE SW",
            "address_2": "SUITE 102",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013880",
            "telephone_number": "701-857-5286",
            "fax_number": "701-857-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTGEREIT",
        "first_name": "KRYSTAL",
        "middle_name": "RENE",
        "credential": "MOT,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-748",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "OT1323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Burman, FNP-C
• Alicia E Burtchett, RD, LRD
• Bobbie Arlene Buseth
• Brittany Bushnell
• John Butgereit
• Christine Lynn Cabrera, M.D
• Tammy Caldwell
• Shannon Patrick Calhoun, D.O.
• Calm Therapy Place, PLLC
• Cameron Deschamp OD PC

• Occupational Therapist in Minot, ND
• Providers in Minot, ND by specialty
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.