Active NPI
Kristy Pegg, OT, CHT
- Hand Occupational Therapist
- Newport Beach, CA
National Provider Identifier
1992755474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 9132
- Practice address
- 360 San Miguel Dr
Ste 302
Newport Beach, CA 92660-7853 - Phone
- (949) 644-6050
- Fax
- (949) 644-4427
- NPI assigned
- May 12, 2006
- Last updated
- Oct 22, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 9132 | CA | Primary |
Addresses
Primary practice location
360 San Miguel Dr
Ste 302
Newport Beach, CA 92660-7853
Mailing address
360 San Miguel Dr
Ste 302
Newport Beach, CA 92660-7853
Phone (949) 644-6050
Other names 1
- Kristy Kreidler
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victoria Adams | Past | 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, 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": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1992755474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 SAN MIGUEL DR",
"address_2": "STE 302",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607853",
"telephone_number": "949-644-6050",
"fax_number": "949-644-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 SAN MIGUEL DR",
"address_2": "STE 302",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607853",
"telephone_number": "949-644-6050",
"fax_number": "949-644-4427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEGG",
"first_name": "KRISTY",
"name_prefix": "Mrs.",
"credential": "OT, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "9132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTY",
"last_name": "KREIDLER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.