Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Peter Kralik , COTA

Occupational Therapy Assistant β€’ Medford, OR

Active NPI 1285841494 Individual Practitioner Male Practitioner
Practice location in NPPES

1200 Mira Mar Ave, Rogue Valley Manor
Medford, OR 97504

Call 5418577432 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1200 Mira Mar Ave
Rogue Valley Manor

Medford, OR 97504

Telephone 5418577432
Fax 5418577149
Organization at the Same NPPES Address or Phone
Rogue Valley Manor, Inc Facility NPI 1780634808

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Medford and Oregon

18 active clinicians are listed under Occupational Therapy Assistant with a practice address in Medford, OR (393 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Medford

0% of these 18 clinicians have the CMS telehealth indicator.

0% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-23
Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

License # reported to NPPES OR 256305

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Susan Basilicato , NP

Registered Nurse - General Practice

NPI 1265403851

Nurse Practitioner

Dr. Erin Bayne , DPT

Physical Therapist

NPI 1205343860

Doctor of Physical Therapy

Christine Brokel , FNP

Nurse Practitioner

NPI 1619045705

Family Nurse Practitioner

Dr. Jon Prulhiere , MD

Internal Medicine

NPI 1700857174

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address November 23, 2025

Registered at 4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 972224628 (Tel: 9712065129)

πŸ‘€
Provider Name / Credentials Updated November 23, 2025

Recorded as PETER KRALIK, COTA

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 1200 MIRA MAR AVE, ROGUE VALLEY MANOR, MEDFORD, OR 97504 (Tel: 5418577432)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 4560 SE INTERNATIONAL WAY, SUITE 100 CONSONUS HEALTHCARE SERVIC, MILWAUKIE, OR 97222 (Tel: 9712065129)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as PETE KVALIK, COTA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Occupational Therapy Assistant (license number reported to NPPES: OR 256305)

🟒
Initial NPI Registration & Enumeration May 17, 2007

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1285841494
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2007
Last Update: November 23, 2025
Sole Proprietor: No

Mailing Address

4560 Se International Way Ste 100

Milwaukie, OR 972224628

Phone: 9712065129

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.