Active NPI
Kristine Ward, COTA
- Occupational Therapist
- Bountiful, UT
National Provider Identifier
1407863558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5131490-4201
- Practice address
- 1275 Golf Course Dr
Bountiful, UT 84010-2268 - Phone
- (801) 673-5042
- NPI assigned
- Aug 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5131490-4201 | UT | Primary |
Addresses
Primary practice location
1275 Golf Course Dr
Bountiful, UT 84010-2268
Mailing address
1275 Golf Course Dr
Bountiful, UT 84010-2268
Phone (801) 673-5042
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5131490-4201 | UT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1407863558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 GOLF COURSE DR",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840102268",
"telephone_number": "801-673-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 GOLF COURSE DR",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840102268",
"telephone_number": "801-673-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "KRISTINE",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "5131490-4201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.