Active NPI
Kristen Lynn Hrasky
- Occupational Therapist
- O'Fallon, IL
National Provider Identifier
1457920571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.005800
- Practice address
- 8431 Braeswood Estates Dr
O Fallon, IL 62269-4235 - Phone
- (618) 792-4358
- NPI assigned
- Jun 22, 2021
- Last updated
- Jun 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 056.005800 | IL | Primary |
Addresses
Primary practice location
8431 Braeswood Estates Dr
O Fallon, IL 62269-4235
Mailing address
8431 Braeswood Estates Dr
O Fallon, IL 62269-4235
Phone (618) 792-4358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.005800 | IL | MD | Occupational Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Powerback Rehabilitation
- Physical Therapist
- O'Fallon, IL
- NPI 1982018362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1457920571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8431 BRAESWOOD ESTATES DR",
"city": "O FALLON",
"state": "IL",
"postal_code": "622694235",
"telephone_number": "618-792-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8431 BRAESWOOD ESTATES DR",
"city": "O FALLON",
"state": "IL",
"postal_code": "622694235",
"telephone_number": "618-792-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HRASKY",
"first_name": "KRISTEN",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.005800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O'Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.