Kristine Grunewald Siegenthaler, OTRL/CHT/CLT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT 735 Issued in OK

Practice address

114 W 7TH St
Okmulgee, OK 74447

Phone

(918) 756-3330

Fax

(918) 756-3332

NPI assigned

Feb 23, 2006

Last updated

Oct 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Impact Rehab ConsultantsGroup PAC ID 3375893936, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Impact Rehab Consultants

  dba Impact Rehabilitation and wellness

  • Occupational Therapist
  • Okmulgee, OK
  • NPI 1972097657
  Medicare reassignment Care Compare group NPD Authorized official
• Excel Therapy Specialists, LLC

  • Physical Therapist
  • Okmulgee, OK
  • NPI 1891919130
  NPD (past)
• Kabrick & Associates, PC

  • Physical Therapist
  • Tulsa, OK
  • NPI 1346247327
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1992771703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W 7TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744475052",
            "telephone_number": "918-756-3330",
            "fax_number": "918-756-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W 7TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "74447",
            "telephone_number": "918-756-3330",
            "fax_number": "918-756-3332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "523 E 6th St",
            "address_purpose": "LOCATION",
            "city": "Okmulgee",
            "state": "OK",
            "postal_code": "744475520",
            "country_code": "US",
            "telephone_number": "918-756-6060",
            "fax_number": "918-756-6058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGENTHALER",
        "first_name": "KRISTINE",
        "middle_name": "GRUNEWALD",
        "credential": "OTRL/CHT/CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OK",
            "license": "OT 735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100645450B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Senior Care Medical Supply, Inc.
• Billy Christopher Sferner
• Ladonna Kay Shadlow, CBHCM, BA
• Shantel Farrow
• Kathryn Shelby
• L Michael Siegenthaler, PT, DPT
• Chandra Monique Simmons
• Tori Singler, PTA
• Abby Smith, MS - SLP
• Elizabeth Snider

• Hand Occupational Therapist in Okmulgee, OK
• Providers in Okmulgee, OK by specialty
• Hand Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.