Active NPI
Amy L Krzeszewski, OTR/L
- Occupational Therapist
- Alamogordo, NM
National Provider Identifier
1598975369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2534
- Practice address
- 1519 Roosevelt Ave
Alamogordo, NM 88310-4844 - Phone
- (814) 490-6118
- NPI assigned
- May 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6243 | NC | |
| Occupational Therapist | 225X00000X | 2534 | NM | Primary |
Addresses
Primary practice location
1519 Roosevelt Ave
Alamogordo, NM 88310-4844
Mailing address
1519 Roosevelt Ave
Alamogordo, NM 88310-4844
Phone (814) 490-6118
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6243 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438905600000",
"number": "1598975369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 ROOSEVELT AVE",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883104844",
"telephone_number": "814-490-6118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 ROOSEVELT AVE",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883104844",
"telephone_number": "814-490-6118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRZESZEWSKI",
"first_name": "AMY",
"middle_name": "L",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2015-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "6243",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "2534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.