Individual provider Active NPI

Deborah Krieger Cristino, OTR

  • Occupational Therapist
  • Northbrook, IL
National Provider Identifier
1750446357
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
549014 Issued in IL
Practice address
755 Skokie Blvd
Northbrook, IL 60062-2805
Phone
(847) 272-7426
Fax
(847) 412-6440
NPI assigned
Dec 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 549014 IL Primary

Addresses

Primary practice location

755 Skokie Blvd
Northbrook, IL 60062-2805

Mailing address

8718 N Ozanam Ave
Niles, IL 60714-1928
Phone (847) 581-0963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110711000123 IL Practitioner - Occupational Therapist in Private Practice 4587842836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unlimited Potential 1 Inc.Group PAC ID 4486779915, 2 clinicians

Practice addresses (Care Compare)

8539 N Olcott Ave
Niles, IL 60714-2051
Phone (847) 581-1446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
549014ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Unlimited Potential 1 Inc. Occupational Therapist CurrentSince Jun 27, 2011 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750446357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8718 N OZANAM AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141928",
            "telephone_number": "847-581-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 SKOKIE BLVD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622805",
            "telephone_number": "847-272-7426",
            "fax_number": "847-412-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTINO",
        "first_name": "DEBORAH",
        "middle_name": "KRIEGER",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "549014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.