NPPES file of Aug 9, 2026

Ellison M. Kruckenberg, COTA/L

Occupational Therapy Assistant · Bountiful, UT

Ellison M. Kruckenberg, COTA/L is an occupational therapy assistant with a practice address in Bountiful, Utah, and NPI 1386100402, issued on Feb 13, 2019. Check the license (Utah 12931092-4202, as entered in NPPES) with the Utah board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1386100402
Name
Ellison M. Kruckenberg
Credential
COTA/L
Primary taxonomy
Occupational Therapy Assistant 224Z00000X
License number
12931092-4202 UT
Self-reported in NPPES; status is on the state search
Practice location
401 S 400 E, Bountiful, UT 84010
Phone
(801) 295-2361
Enumerated
Feb 13, 2019
Record last updated
Jul 12, 2022
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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8 nearest occupational therapy assistant records → All 134 in Utah → Look up another NPI →

Also registered at 401 S 400 E

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jennifer Bangs, OTD OTR LOccupational Therapist1871667451
  2. Tyler Bridgewater, FNP-CFamily Nurse Practitioner1215378377
  3. Dayna Epperson, OTR/LOccupational Therapist1407305154
  4. Margo Evans, TRS CTRSRecreation Therapist1083443972
  5. Kylie Frandsen, MOT, OTR/LOccupational Therapist1497506232
  6. Sarah GehrigOccupational Therapist1437588902

Verify Ellison M. Kruckenberg in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Utah board licenses this profession
    Search for license 12931092-4202    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Utah license search

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Ellison M. Kruckenberg among 134 occupational therapy assistant records in Utah

Ellison M. Kruckenberg, COTA/L is one of 134 occupational therapy assistant records with a practice address in Utah. 0% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2019, is newer than 43% of them.

  • NPI issued2019 · 43% of these records are older, 51% newer
  • In a Medicare fileNo · 0% of these records are
  • In the CMS Doctors and Clinicians fileNo · under 1% of these records are
  • Record last updated2022 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 224Z00000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Occupational Therapy Assistant providers in Utah

There are 134 occupational therapy assistant records in Utah. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 134 in Utah → Every provider in Bountiful → Occupational Therapy Assistant nationwide →

The 8 occupational therapy assistant records with the nearest ZIP codes

  1. Katilyn BoettcherBountiful, UT 840101245731306
  2. Bart HamatakeBountiful, UT 840101063912525
  3. Kordell Howell, COTA/LBountiful, UT 840101891970174
  4. Katherine KarrenBountiful, UT 840101922508498
  5. Mari Sorber, COTABountiful, UT 840101578455317
  6. Kade WhittleBountiful, UT 840101649161704
  7. Casey Henderson, COTAEagle Mountain, UT 840131063290930
  8. Sarah Martin, COTA/LEagle Mountain, UT 840131740159755

Common questions

What is Ellison M. Kruckenberg, COTA/L's NPI number?

Ellison M. Kruckenberg, COTA/L's National Provider Identifier (NPI) is 1386100402, issued on Feb 13, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Ellison M. Kruckenberg, COTA/L located?

The NPPES record lists a practice address at 401 S 400 E, Bountiful, UT, 84010. Phone: (801) 295-2361. Providers update this record themselves, so call before visiting.

How can I verify Ellison M. Kruckenberg, COTA/L's license?

NPPES lists Utah license number 12931092-4202, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.