Active NPI
Ashley L Crecelius, OTR/L
- Occupational Therapist
- Creve Coeur, MO
National Provider Identifier
1003049958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2008026352
- Practice address
- 10560 Old Olive Street Rd
Suite 100
Creve Coeur, MO 63141-5916 - Phone
- (314) 567-4707
- Fax
- (314) 567-4505
- NPI assigned
- Aug 26, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2008026352 | MO | Primary |
Addresses
Primary practice location
10560 Old Olive Street Rd
Suite 100
Creve Coeur, MO 63141-5916
Mailing address
10248 Musick Rd
Saint Louis, MO 63123-5065
Phone (573) 517-3998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114090792 | Medicaid | MO |
Other names 1
- Ashley L Richardet
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008026352 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1003049958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10248 MUSICK RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631235065",
"telephone_number": "573-517-3998",
"fax_number": "314-567-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10560 OLD OLIVE STREET RD",
"address_2": "SUITE 100",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631415916",
"telephone_number": "314-567-4707",
"fax_number": "314-567-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRECELIUS",
"first_name": "ASHLEY",
"middle_name": "L",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-26",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2008026352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114090792",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "RICHARDET",
"middle_name": "L",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Creve Coeur, MO
- Country Villa Wellness & Rehabilitation LLC
- Courier Healthcare Systems, Inc.
- Courier Healthcare Systems, Inc.
- Victoria Lynn Courts, MSOT, OTR/L
- Create Health & Wellness LLC
- Creve Coeur Family Medicine, LLC
- Creve Coeur Fire Protection Dist
- Creve Coeur Internal Medicine, LLC
- Creve Coeur Periodontics, Inc.
- Creve Coeur Surgery Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.