Crystal Ricciardi, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

60606758 Issued in WA

Practice address

23620 SE 281St St
Maple Valley, WA 98038-5132

Phone

(775) 223-7888

NPI assigned

Jan 24, 2007

Last updated

Jan 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Key Learning Concepts LLC

  dba Scope Clinical

  • Speech-Language Pathologist
  • Reno, NV
  • NPI 1023381753
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1144375775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23620 SE 281ST ST",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385132",
            "telephone_number": "775-223-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23620 SE 281ST ST",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385132",
            "telephone_number": "775-223-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIARDI",
        "first_name": "CRYSTAL",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60606758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Relaxing Resources (Maple Valley Pediatric Therapy)
• Michael Joseph Resly
• Restorations Clinical Group, PLLC (Thrive Behavioral Health)
• Diana Reyes
• Lisha Annemarie Ribellia, D.C.
• Clifford John Richards, PT
• Kimberly Ridenour
• Rodney Tyson Riedel, MD
• Joshua Aaron Rigtrup
• Sandra Sebold Ritchie, MD

• Occupational Therapist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.