Active NPI
Krystal R. S. Vermeire, OTR/L
- Pediatric Occupational Therapist
- Anchorage, AK
National Provider Identifier
1366625998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- PHYO2178
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023511 | Medicaid | AK |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PHYO2178 | AK | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All for Kids Pediatric Therapy Clinic | Pediatrics | Past | 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.
-
- Pediatric Occupational Therapist
- Anchorage, AK
- NPI 1437370855
Pediatrics
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.