Active NPI
Maureen Krulder, OTR/L
- Occupational Therapist
- Baiting Hollow, NY
National Provider Identifier
1740808898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 010922
- Practice address
- 53 The Preserve
Baiting Hollow, NY 11933-2301 - Phone
- (631) 678-3648
- NPI assigned
- Jul 6, 2020
- Last updated
- Jul 6, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 010922 | NY | Primary |
Addresses
Primary practice location
53 The Preserve
Baiting Hollow, NY 11933-2301
Mailing address
53 The Preserve
Baiting Hollow, NY 11933-2301
Phone (631) 678-3648
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 |
|---|---|---|---|
| 010922 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1740808898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 THE PRESERVE",
"city": "BAITING HOLLOW",
"state": "NY",
"postal_code": "119332301",
"telephone_number": "631-678-3648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 THE PRESERVE",
"city": "BAITING HOLLOW",
"state": "NY",
"postal_code": "119332301",
"telephone_number": "631-678-3648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRULDER",
"first_name": "MAUREEN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-06",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "010922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baiting Hollow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.