Active NPI
Kelly Crowley
- Occupational Therapist
- Riverhead, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 020572-1
- Practice address
- 1300 Roanoke Ave
Riverhead, NY 11901-2031 - Phone
- (631) 548-6000
- NPI assigned
- Oct 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 020572-1 | NY | Primary |
Addresses
Primary practice location
1300 Roanoke Ave
Riverhead, NY 11901-2031
Mailing address
23 Foster Xing
East Quogue, NY 11942-4332
Phone (631) 807-0338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5958 Ny
25A
Wading River, NY 11792-0521
Phone (631) 929-8200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020572 | NY | MD | Psychologist |
| 020572-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Occupational Therapy Services, P.C. | Occupational Therapist | Current | Accepting new patients |
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
800 E Gate Blvd
Garden City, NY 11530
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
5958 Route 25A
Wading River, NY 11792
Phone (631) 804-9410
Organizations & group practices 3
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.
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
-
- Occupational Therapist
- Sag Harbor, NY
- NPI 1720882400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1174073720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 FOSTER XING",
"city": "EAST QUOGUE",
"state": "NY",
"postal_code": "119424332",
"telephone_number": "631-807-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 ROANOKE AVE",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012031",
"telephone_number": "631-548-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWLEY",
"first_name": "KELLY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-07",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "020572-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.