Individual provider Active NPI

Crystal P Roy, OT

  • Occupational Therapist
  • Greenwood, SC
National Provider Identifier
1073940599
Registry record updated Sep 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4145 Issued in SC
Practice address
437 Cambridge Ave E
Greenwood, SC 29646-2244
Phone
(864) 223-1950
NPI assigned
Sep 29, 2013
Last updated
Sep 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4145 SC Primary
Occupational Therapist 225X00000X 6329 NC

Addresses

Primary practice location

437 Cambridge Ave E
Greenwood, SC 29646-2244

Mailing address

123 Edinborough Cir Apt 7
Greenwood, SC 29649-1338
Phone (336) 588-1820

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6329NCMDPediatric Dentist
4145SCMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380412800000",
    "number": "1073940599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EDINBOROUGH CIR APT 7",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491338",
            "telephone_number": "336-588-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 CAMBRIDGE AVE E",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462244",
            "telephone_number": "864-223-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "CRYSTAL",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-29",
        "last_updated": "2013-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4145",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.