Active NPI
Peter Krump, OTR/L
- Occupational Therapist
- Sartell, MN
National Provider Identifier
1376527671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- MN100734
- Practice address
- 1901 Conneticut Avenue South
St. Cloud Orthopedics
Sartell, MN 56377 - Phone
- (320) 202-5508
- Fax
- (320) 257-5523
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | MN100734 | MN | Primary |
Addresses
Primary practice location
1901 Conneticut Avenue South
St. Cloud Orthopedics
Sartell, MN 56377
Mailing address
1901 Conneticut Avenue South
St. Cloud Orthopedics
Sartell, MN 56377
Phone (320) 202-5508
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6403005 | Other | MN | MEDICA PROVIDER ID |
| 5G694KR | Other | MN | BCBS PROVIDER ID |
| 41163580956301B003 | Other | MN | CHAMPUS |
| HP24510 | Other | MN | HEALTHPARTNERS ID |
| 150033 | Other | MN | MAYO MANAGEMENT ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 Connecticut Ave S
Sartell, MN 56377-2554
Phone (320) 259-4100
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.31 of 100
- Quality
- 74.55
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 83.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MN100734 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Cloud Orthopedic Associates, LTD. | Occupational Therapist | Current | Accepting new patients |
Locations
1901 Connecticut Ave S
Sartell, MN 56377
Phone (320) 259-4100
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.
-
- Orthopaedic Surgery Physician
- Sartell, MN
- NPI 1083638761
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579478400000",
"number": "1376527671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 CONNETICUT AVENUE SOUTH",
"address_2": "ST. CLOUD ORTHOPEDICS",
"city": "SARTELL",
"state": "MN",
"postal_code": "56377",
"telephone_number": "320-202-5508",
"fax_number": "320-257-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 CONNETICUT AVENUE SOUTH",
"address_2": "ST. CLOUD ORTHOPEDICS",
"city": "SARTELL",
"state": "MN",
"postal_code": "56377",
"telephone_number": "320-202-5508",
"fax_number": "320-257-5523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUMP",
"first_name": "PETER",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2020-01-20",
"certification_date": "2020-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "MN100734",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PROVIDER ID",
"identifier": "6403005",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "5G694KR",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "41163580956301B003",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS ID",
"identifier": "HP24510",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAYO MANAGEMENT ID",
"identifier": "150033",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sartell, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.