Individual provider Active NPI

Krystal R. S. Vermeire, OTR/L

  • Pediatric Occupational Therapist
  • Anchorage, AK
National Provider Identifier
1366625998
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
PHYO2178 Issued in AK
Practice address
207 E Northern Lights Blvd Ste 101
Anchorage, AK 99503
Phone
(907) 222-9905
Fax
(907) 222-9925
NPI assigned
Dec 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X
Mental Health Occupational Therapist 225XM0800X
Neurorehabilitation Occupational Therapist 225XN1300X
Physical Rehabilitation Occupational Therapist 225XP0019X
Pediatric Occupational Therapist 225XP0200X PHYO2178 AK Primary

Addresses

Primary practice location

207 E Northern Lights Blvd Ste 101
Anchorage, AK 99503

Mailing address

8401 Williwa Cir
Anchorage, AK 99504-4158
Phone (907) 222-9905

Other practice location 1

6927 Old Seward Hwy Ste 100
Anchorage, AK 99518-2283
Phone (907) 345-0050

Other practice location 2

8401 Williwa Cir
Anchorage, AK 99504-4158
Phone (570) 337-8878

Other identifiers 1

IdentifierTypeStateIssuer
1023511MedicaidAK

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
PHYO2178AKMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All for Kids Pediatric Therapy Clinic Pediatrics PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366625998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 WILLIWA CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044158",
            "telephone_number": "907-222-9905",
            "fax_number": "907-222-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E NORTHERN LIGHTS BLVD STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99503",
            "telephone_number": "907-222-9905",
            "fax_number": "907-222-9925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6927 Old Seward Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995182283",
            "country_code": "US",
            "telephone_number": "907-345-0050",
            "fax_number": "907-344-5103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 Williwa Cir",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995044158",
            "country_code": "US",
            "telephone_number": "570-337-8878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERMEIRE",
        "first_name": "KRYSTAL",
        "middle_name": "R. S.",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AK",
            "license": "PHYO2178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023511",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.