Individual provider Active NPI

Karen Crouch, CHT

  • Hand Occupational Therapist
  • Costa Mesa, CA
National Provider Identifier
1043304520
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT6273 Issued in CA
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

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
OT0062730OtherCABLUE SHIELD
A007OtherCATRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250922001683 CA Practitioner - Physical Therapist in Private Practice 1355377979 Reassigns benefits to 1 organization

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
Laguna Beach Rehab IncGroup PAC ID 4688686538, 14 clinicians

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

LicenseStateTypeSpecialty
6273CAMDOptician
OT6273CAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laguna Beach Rehab Inc CurrentSince Jul 1, 2025 Accepting new patients
Laguna Beach Rehab, Inc. Hand CurrentSince Jul 1, 2025 Accepting new patients
Hands on Hands Rehabilitation Center, Inc. Past Accepting new patients
Hands on Hands Rehabilitation Center, Inc Hand PastSince Jul 7, 2014 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.