Active NPI
Christopher Kreutzer
- Occupational Therapist
- Boston, MA
National Provider Identifier
1700136793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10634
- Practice address
- 15 Parkman St
Boston, MA 02114-3117 - Phone
- (617) 726-2960
- Fax
- (617) 726-3004
- NPI assigned
- Sep 17, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 10634 | MA | Primary |
| Occupational Therapist | 225X00000X | 12676 | CA |
Addresses
Primary practice location
15 Parkman St
Boston, MA 02114-3117
Mailing address
70 Wyeth St Apt 3
Malden, MA 02148-7133
Phone (650) 704-1565
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12676 | CA | MD | Occupational Therapist |
| 10634 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1700136793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 WYETH ST APT 3",
"city": "MALDEN",
"state": "MA",
"postal_code": "021487133",
"telephone_number": "650-704-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 PARKMAN ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143117",
"telephone_number": "617-726-2960",
"fax_number": "617-726-3004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREUTZER",
"first_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-17",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "10634",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "12676",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.