Individual provider Active NPI

Krista Lea Jacot, MOT, OTR/L

  • Occupational Therapist
  • Norfolk, NE
National Provider Identifier
1437591807
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1667 Issued in NE
Practice address
2108 Taylor Ave Ste 1100
Norfolk, NE 68701-4642
Phone
(402) 371-7545
Fax
(402) 379-0583
NPI assigned
Jul 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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 1667 NE Primary

Addresses

Primary practice location

2108 Taylor Ave Ste 1100
Norfolk, NE 68701-4642

Mailing address

2108 Taylor Ave
Ste 1100
Norfolk, NE 68701-4604
Phone (402) 371-7545

Other names 1

  • Ms. Krista Lea Pekny Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140512001880 NE Practitioner - Occupational Therapist in Private Practice 3375776628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacobsen Therapy Services LLCGroup PAC ID 1759381023, 5 clinicians

Practice addresses (Care Compare)

2108 Taylor Ave
Suite 1100
Norfolk, NE 68701-4642
Phone (402) 371-7545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1667NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jacobsen Therapy Services LLC Occupational Therapist CurrentSince Apr 14, 2014 Accepting new patients

Locations

901 S 4th St
Battle Creek, NE 68715
Phone (402) 675-2955

2108 Taylor Ave
Ste 1100
Norfolk, NE 68701
Phone (402) 371-7545

Organizations & group practices 1

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": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1437591807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 TAYLOR AVE",
            "address_2": "STE 1100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014604",
            "telephone_number": "402-371-7545",
            "fax_number": "402-379-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 TAYLOR AVE STE 1100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014642",
            "telephone_number": "402-371-7545",
            "fax_number": "402-379-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOT",
        "first_name": "KRISTA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "PEKNY",
            "middle_name": "LEA",
            "prefix": "MS.",
            "credential": "MOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.