Individual provider Active NPI

Leann Rae Eccard-Crutchley, COTA/L

  • Occupational Therapy Assistant
  • Hagerstown, MD
National Provider Identifier
1144459884
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
A00437 Issued in MD
Practice address
1183 Luther Dr
Hagerstown, MD 21740-7407
Phone
(301) 790-1000
NPI assigned
Jul 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X A00437 MD Primary

Addresses

Primary practice location

1183 Luther Dr
Hagerstown, MD 21740-7407

Mailing address

20003 Cherry Hill Cir
Hagerstown, MD 21742-9784
Phone (301) 766-0444

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

LicenseStateTypeSpecialty
A00437MDMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1144459884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20003 CHERRY HILL CIR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217429784",
            "telephone_number": "301-766-0444",
            "fax_number": "301-766-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 LUTHER DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407407",
            "telephone_number": "301-790-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECCARD-CRUTCHLEY",
        "first_name": "LEANN",
        "middle_name": "RAE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "A00437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.