Kristine Penwarden, MS, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8312 Issued in CA

Practice address

41421 Date St
Murrieta, CA 92562-7018

Phone

(951) 676-7693

NPI assigned

May 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristine Jurat Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Littlefield Physical Therapy, Inc.

  • Physical Therapist
  • Murrieta, CA
  • NPI 1467506691
  NPD (past)

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1306281464",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "41421 DATE ST.",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-676-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41421 DATE ST",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925627018",
            "telephone_number": "951-676-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENWARDEN",
        "first_name": "KRISTINE",
        "credential": "MS, OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "8312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "JURAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shayun Pedram, MD
• Jolene Marie Peloquin, P.T.
• Ashley H Pena
• Melissa Pena
• Erica Penaloza, MOT, OTR/L
• Amanda Kristine Penza
• Stephanie Ann Peoples, PSYD
• Steven Perales
• Lauren Peralta, BS
• Leslie Perez de Alba

• Occupational Therapist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.