Individual provider Active NPI

Kaitlin Paige Masterson, MS, OTR/L

  • Occupational Therapist
  • Evansville, IN
National Provider Identifier
1881287746
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31007422A Issued in IN
Practice address
3900 Washington Ave
Evansville, IN 47714-0550
Phone
(812) 485-7337
NPI assigned
Feb 11, 2021
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 267064 KY
Occupational Therapist 225X00000X 31007422A IN Primary

Addresses

Primary practice location

3900 Washington Ave
Evansville, IN 47714-0550

Mailing address

3900 Washington Ave Ste 100a
Evansville, IN 47714-0550
Phone (812) 485-7337

Other practice location 1

201 SE 4th St Ste 150
Evansville, IN 47713-1201
Phone (812) 402-0444

Other names 1

  • Kaitlin Paige Kralj Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210618001141 IN Practitioner - Occupational Therapist in Private Practice 1052711637 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4211 Grimm Rd
Newburgh, IN 47630-4000
Phone (930) 444-7178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
31007422AINMDOccupational Therapist
267064KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Aug 28, 2023 Accepting new patients
Forefront Community Therapy Inc Occupational Therapist CurrentSince Jul 1, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Aug 28, 2023 Accepting new patients
Forefront Therapy LLC Occupational Therapist PastSince Sep 1, 2016 Accepting new patients
Groundworks Pediatric Therapy LLC Past Accepting new patients
Theratree, LLC. Occupational Therapist PastSince Feb 1, 2021 Accepting new patients

Locations

101 NW 1st St
Ste 114
Evansville, IN 47708
Phone (812) 402-0444

201 SE 4th St
#150
Evansville, IN 47713
Phone (812) 402-0444

4211 Grimm Rd
Newburgh, IN 47630
Phone (812) 853-9810

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1881287746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 WASHINGTON AVE STE 100A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140550",
            "telephone_number": "812-485-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WASHINGTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140550",
            "telephone_number": "812-485-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 SE 4th St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477131201",
            "country_code": "US",
            "telephone_number": "812-402-0444",
            "fax_number": "812-461-6716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTERSON",
        "first_name": "KAITLIN",
        "middle_name": "PAIGE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "267064",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007422A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "KRALJ",
            "middle_name": "PAIGE",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.