Active NPI
Katherine S Crooker, OTR/L
- Occupational Therapist
- Oxford, ME
National Provider Identifier
1063711281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2500
- Practice address
- 16 Madison Ave
Oxford, ME 04270-3579 - Phone
- (207) 212-3692
- NPI assigned
- Mar 28, 2011
- Last updated
- Sep 22, 2023
- 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 | 2500 | ME | Primary |
Addresses
Primary practice location
16 Madison Ave
Oxford, ME 04270-3579
Mailing address
684 Grover Hill Rd
Bethel, ME 04217-3407
Phone (207) 233-7819
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 |
|---|---|---|---|
| 2500 | ME | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1063711281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "684 GROVER HILL RD",
"city": "BETHEL",
"state": "ME",
"postal_code": "042173407",
"telephone_number": "207-233-7819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MADISON AVE",
"city": "OXFORD",
"state": "ME",
"postal_code": "042703579",
"telephone_number": "207-212-3692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROOKER",
"first_name": "KATHERINE",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-28",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "2500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.