Active NPI
Karen Crouch, CHT
- Hand Occupational Therapist
- Costa Mesa, CA
National Provider Identifier
1043304520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT6273
- Practice address
- 1700 Adams Avenue
Ste 103
Costa Mesa, CA 92626 - Phone
- (714) 556-2288
- Fax
- (714) 435-1745
- NPI assigned
- Oct 2, 2006
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT6273 | CA | Primary |
Addresses
Primary practice location
1700 Adams Avenue
Ste 103
Costa Mesa, CA 92626
Mailing address
1700 Adams Avenue
Ste 103
Costa Mesa, CA 92626
Phone (714) 556-2288
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT0062730 | Other | CA | BLUE SHIELD |
| A007 | Other | CA | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Loma Linda University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31852 Coast Hwy
Suite 303
Laguna Beach, CA 92651-6766
Phone (949) 499-9559
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6273 | CA | MD | Optician |
| OT6273 | CA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laguna Beach Rehab Inc | Current | Accepting new patients | |
| Laguna Beach Rehab, Inc. | Hand | Current | Accepting new patients |
| Hands on Hands Rehabilitation Center, Inc. | Past | Accepting new patients | |
| Hands on Hands Rehabilitation Center, Inc | Hand | Past | Accepting new patients |
Locations
31852 Coast Hwy
Ste 303
Laguna Beach, CA 92651
Phone (949) 499-3085
1441 Avocado Ave
Ste 307
Newport Beach, CA 92660
Phone (858) 247-2933
Interoperability endpoints
- karen.crouch.p46@direct.newportmed.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Laguna Beach, CA
- NPI 1578514832
-
- Hand Occupational Therapist
- Costa Mesa, CA
- NPI 1821183070
-
- Occupational Therapist
- Huntington Beach, CA
- NPI 1245403906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043304520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 ADAMS AVENUE",
"address_2": "STE 103",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "92626",
"telephone_number": "714-556-2288",
"fax_number": "714-435-1745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 ADAMS AVENUE",
"address_2": "STE 103",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "92626",
"telephone_number": "714-556-2288",
"fax_number": "714-435-1745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUCH",
"first_name": "KAREN",
"credential": "CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "OT6273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "OT0062730",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A007",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.