Individual provider Active NPI

Katherine Krcal, MOT, OTR/L

  • Pediatric Occupational Therapist
  • Walnut Creek, CA
National Provider Identifier
1861932881
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT008696
Practice address
2730 Shadelands Dr
Walnut Creek, CA 94598-2538
Phone
(925) 302-3419
NPI assigned
Feb 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT008696 Primary

Addresses

Primary practice location

2730 Shadelands Dr
Walnut Creek, CA 94598-2538

Mailing address

2730 Shadelands Dr
Walnut Creek, CA 94598-2538
Phone (614) 623-5962

Other practice location 1

3430 Burnet Ave # 4007
Cincinnati, OH 45229-2833
Phone (614) 623-5962

Other practice location 2

1335 Dublin Rd
Suite 200B
Columbus, OH 43215-1000
Phone (614) 623-5962

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

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1861932881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982538",
            "telephone_number": "614-623-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982538",
            "telephone_number": "925-302-3419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3430 Burnet Ave # 4007",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452292833",
            "country_code": "US",
            "telephone_number": "614-623-5962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1335 Dublin Rd",
            "address_2": "Suite 200B",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432151000",
            "country_code": "US",
            "telephone_number": "614-623-5962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRCAL",
        "first_name": "KATHERINE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": "OT008696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.