Active NPI
Kristie Kathryn Bunch, OTR
- Occupational Therapist
- Quincy, IL
National Provider Identifier
1376667360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.006055
- Practice address
- 804 State St
Suite 5
Quincy, IL 62301-4951 - Phone
- (217) 224-1750
- Fax
- (217) 224-0403
- NPI assigned
- Mar 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.006055 | IL | Primary |
| Occupational Therapist | 225X00000X | 2000175651 | MO |
Addresses
Primary practice location
804 State St
Suite 5
Quincy, IL 62301-4951
Mailing address
804 State St
Suite 5
Quincy, IL 62301-4951
Phone (217) 224-1750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KC79160401P | Other | IL | EARLY INTERVENTION |
Other names 1
- Miss Kristie Kathryn Chrans
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.006055 | IL | MD | Occupational Therapist |
| 2000175651 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Bourbonnais, LLC | 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.
-
- Physical Therapist
- Bourbonnais, IL
- NPI 1861503542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1376667360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 STATE ST",
"address_2": "SUITE 5",
"city": "QUINCY",
"state": "IL",
"postal_code": "623014951",
"telephone_number": "217-224-1750",
"fax_number": "217-224-0403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 STATE ST",
"address_2": "SUITE 5",
"city": "QUINCY",
"state": "IL",
"postal_code": "623014951",
"telephone_number": "217-224-1750",
"fax_number": "217-224-0403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCH",
"first_name": "KRISTIE",
"middle_name": "KATHRYN",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-17",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.006055",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2000175651",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EARLY INTERVENTION",
"identifier": "KC79160401P",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIE",
"last_name": "CHRANS",
"middle_name": "KATHRYN",
"prefix": "MISS",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.