Individual provider Active NPI

Rachel Elise Krzemien

  • Occupational Therapist
  • Klamath Falls, OR
National Provider Identifier
1386305050
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2491 Issued in NE
Practice address
1401 Bryant Williams Dr
Klamath Falls, OR 97601-7151
Phone
(541) 882-6691
NPI assigned
Jan 5, 2022
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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 2491 NE Primary

Addresses

Primary practice location

1401 Bryant Williams Dr
Klamath Falls, OR 97601-7151

Mailing address

5306 Bay Meadows Rd
Omaha, NE 68127-3543
Phone (402) 250-1013

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
2491NEMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1386305050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 BAY MEADOWS RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681273543",
            "telephone_number": "402-250-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BRYANT WILLIAMS DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976017151",
            "telephone_number": "541-882-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRZEMIEN",
        "first_name": "RACHEL",
        "middle_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.