Individual provider Active NPI

Peter Krump, OTR/L

  • Occupational Therapist
  • Sartell, MN
National Provider Identifier
1376527671
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
MN100734 Issued in MN
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

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6403005OtherMNMEDICA PROVIDER ID
5G694KROtherMNBCBS PROVIDER ID
41163580956301B003OtherMNCHAMPUS
HP24510OtherMNHEALTHPARTNERS ID
150033OtherMNMAYO MANAGEMENT ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080407000023 MN Practitioner - Occupational Therapist in Private Practice 5092892737 Reassigns benefits to 1 organization

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
St Cloud Orthopedic Associates LTDGroup PAC ID 0143113951, 44 clinicians

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 100Reported as group
Quality
74.55
Promoting interoperability
79
Improvement activities
40
Cost
83.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MN100734MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Cloud Orthopedic Associates, LTD. Occupational Therapist CurrentSince Mar 10, 2008 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.

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.

Verify at the official NPI Registry.