Individual provider Active NPI

Doren Crolley, OTR/L

  • Occupational Therapist
  • Florence, SC
National Provider Identifier
1164812137
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4443 Issued in SC
Practice address
515 N Cashua Dr
Florence, SC 29501-2003
Phone
(803) 968-4765
NPI assigned
Jan 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4443 SC Primary

Addresses

Primary practice location

515 N Cashua Dr
Florence, SC 29501-2003

Mailing address

2613 Avent St
Florence, SC 29505-6401
Phone (803) 968-4765

Other practice location 1

440 2nd Loop Rd
Florence, SC 29505-2814
Phone (843) 777-2250 ext. 2250

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
4443SCMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1164812137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 AVENT ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056401",
            "telephone_number": "803-968-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N CASHUA DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012003",
            "telephone_number": "803-968-4765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 2nd Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295052814",
            "country_code": "US",
            "telephone_number": "843-777-2250 x2250",
            "fax_number": "843-777-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROLLEY",
        "first_name": "DOREN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.