ELLISON M KRUCKENBERG COTA/L
NPI 1386100402
Occupational Therapy Assistant in Bountiful, UT

Active since February 13, 2019
401 S 400 E, BOUNTIFUL, UT 84010(801) 295-2361 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2022, Feb 13, 2019 (2 updates tracked since 2019).

About Ellison M Kruckenberg Cota/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLISON M KRUCKENBERG COTA/L (NPI 1386100402) is an individual occupational therapy assistant in Bountiful, Utah, licensed in Utah (12931092-4202) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1386100402
Entity TypeIndividualFemale
Primary Taxonomy224Z00000X
Provider Legal NameELLISON M KRUCKENBERGCredential: COTA/L
Location Address401 S 400 EBountiful, UT 84010-4933
Mailing Address9487 S Wasatch Downs CirSouth Jordan, UT 84095-9289 · (385) 226-9401
Sole ProprietorYes
Enumeration DateFebruary 13, 2019
Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
NPI 1386100402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in UT · 12931092-4202
Definition
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
401 S 400 E, Bountiful, UT 84010

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Recreation Therapist
401 S 400 E
BOUNTIFUL, UT 84010
Recreation Therapist
401 S 400 E
BOUNTIFUL, UT 84010
Nurse Practitioner (Family)
401 S 400 E
BOUNTIFUL, UT 84010
Home Health
401 S 400 E
BOUNTIFUL, UT 84010
Speech-Language Pathologist
401 S 400 E, BEVERLY HOMER MOUNTAIN LAND REHABILITATION
BOUNTIFUL, UT 84010
Occupational Therapist
401 S 400 E
BOUNTIFUL, UT 84010
Nurse Practitioner
401 S 400 E
BOUNTIFUL, UT 84010
Occupational Therapist
401 S 400 E
BOUNTIFUL, UT 84010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellison Kruckenberg's NPI number?

The NPI number for Ellison Kruckenberg is 1386100402. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Where is Ellison Kruckenberg located?

Ellison Kruckenberg practices at 401 S 400 E, Bountiful, UT 84010. The listed phone number is (801) 295-2361.

What is Ellison Kruckenberg's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

When was this NPI record last updated?

The NPPES record for Ellison Kruckenberg was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.