Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Victoria Premus, DROT, OTR/L

Individual provider Occupational Therapist · NPI 1073069423

Kristen Victoria Premus, DROT, OTR/L is an Occupational Therapist in Private Practice in Philadelphia, Pennsylvania. Qualified in 2016, 10 years ago. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2016
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

475 Spring Ln
Philadelphia, PA 19128-3918
Phone: (215) 482-5353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OC01 (PA)

Record details

NPI number1073069423
Entity typeIndividual (Type 1)
GenderFemale
Credentials DROT , OTR/L
Sole proprietorNo
NPI enumeratedAugust 26, 2016
Last updated in NPPESAugust 26, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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