Individual provider Active NPI

Krystal Paiva, MOTR/L

  • Occupational Therapist
  • Morgantown, WV
National Provider Identifier
1972881399
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1547 Issued in WV
Practice address
82 Airport Blvd Apt F
Morgantown, WV 26505-2988
Phone
(304) 290-0000
NPI assigned
Aug 2, 2011
Last updated
Aug 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1547 WV Primary
Occupational Therapist 225X00000X 114322 TX
Occupational Therapist 225X00000X 3163 MT

Addresses

Primary practice location

82 Airport Blvd Apt F
Morgantown, WV 26505-2988

Mailing address

82 Airport Blvd Apt F
Morgantown, WV 26505-2988

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

LicenseStateTypeSpecialty
3163MTMDPharmacist
114322TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1972881399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 AIRPORT BLVD APT F",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 AIRPORT BLVD APT F",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052988",
            "telephone_number": "304-290-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIVA",
        "first_name": "KRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1547",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114322",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "3163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.