Active NPI
David Carl Kresse, OTR
- Occupational Therapist
- Wyomissing, PA
National Provider Identifier
1841377801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC009036
- Practice address
- 9 Bristol CT
Center for Pediatric Therapy
Wyomissing, PA 19610 - Phone
- (610) 670-8600
- NPI assigned
- Nov 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC009036 | PA | Primary |
Addresses
Primary practice location
9 Bristol CT
Center for Pediatric Therapy
Wyomissing, PA 19610
Mailing address
421 Merion Dr
Sinking Spring, PA 19608
Phone (610) 927-2665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1767830 | Other | HIGHMARK PROVIDER # |
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 |
|---|---|---|---|
| OC009036 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841377801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 MERION DR",
"city": "SINKING SPRING",
"state": "PA",
"postal_code": "19608",
"telephone_number": "610-927-2665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 BRISTOL CT",
"address_2": "CENTER FOR PEDIATRIC THERAPY",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "19610",
"telephone_number": "610-670-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRESSE",
"first_name": "DAVID",
"middle_name": "CARL",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC009036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PROVIDER #",
"identifier": "1767830",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Wyomissing, PA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.