Active NPI
Krystal Harris, MOTR/L
- Occupational Therapist
- Cedar Grove, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 015966
- Practice address
- 315 E Lindsley Rd
Cedar Grove, NJ 07009-1152 - Phone
- (973) 754-4801
- NPI assigned
- Jan 12, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00482100 | NJ | |
| Skilled Nursing Facility | 314000000X | 46TR00482100 | NJ | |
| Occupational Therapist | 225X00000X | 015966 | NY | Primary |
Addresses
Primary practice location
315 E Lindsley Rd
Cedar Grove, NJ 07009-1152
Mailing address
315 E Lindsley Rd
Cedar Grove, NJ 07009-1152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015966 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Rehabilitation, LLC | Occupational Therapist | Current | Accepting new patients |
| Stern at Home Physical Therapy PC | Occupational Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Georgia, LLC | Occupational Therapist | Current | Accepting new patients |
| Genesis Medical Health PC | Past | Accepting new patients | |
| Ultima Rehab-NJ LLC | Past | Accepting new patients |
Locations
762 N Main St
Alpharetta, GA 30009
Phone (678) 268-6335
5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
23 Robert Pitt Dr
Ste 110
Monsey, NY 10952
4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Cumming, GA
- NPI 1952934374
Occupational Therapist
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
GA, Occupational Therapist
-
- Physical Medicine & Rehabilitation Physician
- Pomona, NY
- NPI 1720563380
GA, Occupational Therapist
-
- Geriatric Physical Therapist
- Wall Township, NJ
- NPI 1427426485
-
- General Practice Physician
- Spring Valley, NY
- NPI 1295043099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1770720864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E LINDSLEY RD",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E LINDSLEY RD",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091152",
"telephone_number": "973-754-4801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KRYSTAL",
"credential": "MOTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-12",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00482100",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "46TR00482100",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "015966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Grove, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.