Jennifer J Krey, O.T.R.

Key facts

NPI

1407029002

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapist 225X00000X

License

2877026 (WI)

Practice address

2805 Hunters TRL
Portage, WI 53901-3429

Phone

(608) 745-4347

NPI assigned

Apr 4, 2008

Sex

Female

Sole proprietor

Yes

Organizations & group practices 2

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.

• Divine Savior Healthcare, Inc. General Acute Care Hospital · Portage, WI · NPI 1124083894
  Medicare reassignment NPD WI
• Divine Savior Healthcare, Inc. Rural Health Clinic/Center · Portage, WI · NPI 1386154417
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WI

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 18, 2015.

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1407029002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 HUNTERS TRL",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539013429",
            "telephone_number": "608-745-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 HUNTERS TRL",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539013429",
            "telephone_number": "608-745-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREY",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "2877026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40806800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, WI

• Susan A Knower, LPC, IDPAT
• Emily Kraemer, MS, RDN, CD
• Ogoma Mekam Obi Krause, MD
• Sarah J Kravick, LMFT
• Susan H Kreckman, MD
• Gerald L Krumpos, MD
• Joseph Michael Labella, DDS
• Mark T Labor, CRNA
• Kendra Lynn Lacrosse, OTR
• Andrea J Langan, APNP

All providers in Portage, WI · Occupational Therapist in Wisconsin