Individual provider Active NPI

Krystal Marie Seitz, OTR/L

  • Occupational Therapist
  • Heppner, OR
National Provider Identifier
1912399734
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
60534328 Issued in WA
Practice address
695 South Alfalfa Street
Heppner, OR 97836-6300
Phone
(541) 676-1123
Fax
(541) 676-1122
NPI assigned
Mar 3, 2015
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 60534328 WA Primary

Addresses

Primary practice location

695 South Alfalfa Street
Heppner, OR 97836-6300

Mailing address

622 Villard St
Cheney, WA 99004-1220
Phone (541) 999-5442

Other names 1

  • Krystal Nairns Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
60534328WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Oregon Physical Therapy CurrentSince May 1, 2015 Accepting new patients
Ben Booher DO LLC PastSince May 1, 2015 Accepting new patients

Locations

1100 Southgate
Ste 15
Pendleton, OR 97801
Phone (541) 276-4011

Organizations & group practices 2

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": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1912399734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 VILLARD ST",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990041220",
            "telephone_number": "541-999-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 SOUTH ALFALFA STREET",
            "city": "HEPPNER",
            "state": "OR",
            "postal_code": "978366300",
            "telephone_number": "541-676-1123",
            "fax_number": "541-676-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITZ",
        "first_name": "KRYSTAL",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60534328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "NAIRNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Heppner, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.