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

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 and National Provider Directory roles.

• Key Learning Concepts LLC

  • 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
• Michael Joseph Resly
• Restorations Clinical Group, PLLC
• 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.