Krista Ann Green, OTR
Individual provider Active NPI Occupational Therapist · Imperial, MO
NPI 1386790749 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386790749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2001031019 (MO)
- Practice address
- 5433 Redbird CV
Imperial, MO 63052-1748 - Phone
- (314) 566-0251
- Fax
- (636) 467-5738
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001031019 | MO | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2001031019 | MO | Yes |
Addresses
Primary practice location
5433 Redbird CV
Imperial, MO 63052-1748
Mailing address
5433 Redbird CV
Imperial, MO 63052-1748
Phone (314) 566-0251
Other providers in Imperial, MO
- Dawn Renae Follmer
- Kimberly Garrett
- Gateway Sonographics, Inc.
- Gerald C Schmitz DMD
- Ashley Nicole Glaus
- Elizabeth Grieb
- Guiding Light Behavioral Consulting
- Emily Elizabeth Hammon
- Vicki S. Hanson
- Susan Hawthorne
All providers in Imperial, MO · Occupational Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.