Krista Marie Judge, MA OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

104076 Issued in MN

Practice address

2520 Pilot Knob Rd Ste 190
Mendota Heights, MN 55120-1152

Phone

(952) 223-2506

Fax

(952) 443-2038

NPI assigned

Feb 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689947970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 SOUTH PKWY",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553864538",
            "telephone_number": "952-223-2506",
            "fax_number": "952-443-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 PILOT KNOB RD STE 190",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201152",
            "telephone_number": "952-223-2506",
            "fax_number": "952-443-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDGE",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "credential": "MA OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Thomas Johnston
• Kyle Johnston, LPCC
• Roody Nan Joinvil
• Tyler Jones
• Jordan Judd, LBA
• Jennie M Juettner
• Joanna Petersen Julstrom-Agoyo
• Abigail R Jungwirth
• Amy Kalbrener, MA, LPCC
• Kaleb, Inc.

• Occupational Therapist in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.