Wild & Free OT PLLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

WILD & FREE OT PLLC

Practice address

1908 Pembroke LN
McKinney, TX 75072-4793

Phone

(646) 420-0177

NPI assigned

Feb 27, 2023

Last updated

Feb 27, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vanessa Kruger, OTR/LNPI 1881902484

Title

Occupational Therapist

Phone

(646) 420-0177

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vanessa Catherine Kruger, OTR/L

  • Pediatric Occupational Therapist
  • New York, NY
  • NPI 1881902484

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1427757780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1826",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750708160",
            "telephone_number": "646-420-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 PEMBROKE LN",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750724793",
            "telephone_number": "646-420-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD & FREE OT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-25",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "646-420-0177",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hank Wich, LMFTA
• Donald Boyd Widner, LCDC
• Ashley Kay Wiginton, PA
• Annie Wigley
• Ashley Tapper Wilbourn
• Kenneth Wilgus, PH.D.
• Jaci Lea Willard, PT, DPT
• Whitney Willborn, LCSW
• William C. Burns II, M.D., P.a. (Craig Ranch Orthopaedics & Sports Medicine)
• William C. Mitchell, MD, PA

• Pediatric Occupational Therapist in McKinney, TX
• Providers in McKinney, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.