Individual provider Active NPI

Teresa Kreuzer, OTR/L

  • Occupational Therapist
  • Colorado Springs, CO
National Provider Identifier
1417718487
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0001351 Issued in CO
Practice address
1775 Laclede St
Colorado Springs, CO 80905-9502
Phone
(719) 475-6100
NPI assigned
Jan 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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 OT.0001351 CO Primary

Addresses

Primary practice location

1775 Laclede St
Colorado Springs, CO 80905-9502

Mailing address

1775 Laclede St
Colorado Springs, CO 80905-9502
Phone (719) 475-6100

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
OT.0001351COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso County School District 12 CurrentSince Jan 21, 2024 Accepting new patients
El Paso 12, Cheyenne Mountain CurrentSince Jan 21, 2024 Accepting new patients

Locations

1775 Laclede St
Colorado Springs, CO 80905
Phone (719) 327-2820

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.

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1417718487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 LACLEDE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809059502",
            "telephone_number": "719-475-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 LACLEDE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809059502",
            "telephone_number": "719-475-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUZER",
        "first_name": "TERESA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0001351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.