| Mrs Krista Marie Phelps, OTR | |
| 2495 Maplewood Dr, Suite 313, Maplewood, MN 55109-1984 | |
| (651) 770-8884 | |
| (651) 770-8151 | 
| Full Name | Mrs Krista Marie Phelps | 
|---|---|
| Gender | Female | 
| Speciality | Occupational Therapist - Pediatrics | 
| Location | 2495 Maplewood Dr, Maplewood, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205971710 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 102751 (Minnesota) | Primary | 
| Provider Name | Functional Integrated Therapy, Ltd | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1477640613 PECOS PAC ID: 9234189879 Enrollment ID: O20050131001036 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Krista Marie Phelps, OTR 3862 Goodwin Ave N, Oakdale, MN 55128-3020 Ph: (651) 770-8884 | Mrs Krista Marie Phelps, OTR 2495 Maplewood Dr, Suite 313, Maplewood, MN 55109-1984 Ph: (651) 770-8884 | 
| Julie Stricker, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2399 Ariel St N, Suite A, Maplewood, MN 55109 Phone: 651-773-0354 Fax: 651-773-0371 | |
| Laura Lee Williams, MA OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1705 Cope Ave E, Suite G, Maplewood, MN 55109 Phone: 651-773-0354 Fax: 651-773-0371 | |
| Katie Rath-nesvacil,  Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1670 Legacy Pkwy E, Maplewood, MN 55109 Phone: 651-756-1859 | |
| Johanna Mcgough-pose,  Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2399 Ariel St N Ste A, Maplewood, MN 55109 Phone: 651-773-0354 | |
| Emily Grace Burns,  Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1670 Legacy Pkwy E, Maplewood, MN 55109 Phone: 651-756-1859 | |
| Margaret Blessing,  Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2495 Maplewood Dr, Maplewood, MN 55109 Phone: 651-770-8884 Fax: 651-243-4231 | |
| Megan Wetterling, MA OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2945 Hazelwood St Ste 320, Maplewood, MN 55109 Phone: 651-683-7030 |