Active NPI
Vanessa Catherine Kruger, OTR/L
- Pediatric Occupational Therapist
- New York, NY
National Provider Identifier
1881902484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 016079-1
- Practice address
- 361 E 19TH St Ste 5
New York, NY 10003-2888 - Phone
- (212) 721-5220
- NPI assigned
- Sep 16, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 123338 | TX | |
| Pediatric Occupational Therapist | 225XP0200X | 016079-1 | NY | Primary |
Addresses
Primary practice location
361 E 19TH St Ste 5
New York, NY 10003-2888
Mailing address
PO Box 1826
McKinney, TX 75070-8160
Phone (646) 420-0177
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 |
|---|---|---|---|
| 016079-1 | NY | MD | Pediatric Occupational Therapist |
| 123338 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wild & Free OT PLLC | Pediatrics | Current | 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": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1881902484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1826",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750708160",
"telephone_number": "646-420-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 E 19TH ST STE 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100032888",
"telephone_number": "212-721-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "VANESSA",
"middle_name": "CATHERINE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-16",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "123338",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "016079-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.