Individual provider Active NPI

Natasha Krasotin, COTA

  • Occupational Therapy Assistant
  • Greenfield, WI
National Provider Identifier
1356772735
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5030-27 Issued in WI
Practice address
3933 S Prairie Hill LN
Suite 316
Greenfield, WI 53228-2371
Phone
(888) 891-9307
NPI assigned
Dec 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5030-27 WI Primary

Addresses

Primary practice location

3933 S Prairie Hill LN
Suite 316
Greenfield, WI 53228-2371

Mailing address

3933 S Prairie Hill LN
Suite 316
Greenfield, WI 53228-2371

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
5030-27WIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1356772735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 S PRAIRIE HILL LN",
            "address_2": "SUITE 316",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532282371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 S PRAIRIE HILL LN",
            "address_2": "SUITE 316",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532282371",
            "telephone_number": "888-891-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASOTIN",
        "first_name": "NATASHA",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "5030-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.