Elaine R Croucher, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

016287-1 Issued in NY

Practice address

8199 E Seneca Tpke
Manlius, NY 13104-2101

Phone

(315) 692-1203

NPI assigned

Nov 19, 2010

Last updated

Nov 19, 2010By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Fayetteville Manlius School District

  • Local Education Agency (LEA)
  • Manlius, NY
  • NPI 1497803753
  NPD (past)

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1205138443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 DONOVAN DR",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131265617",
            "telephone_number": "315-343-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8199 E SENECA TPKE",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131042101",
            "telephone_number": "315-692-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCHER",
        "first_name": "ELAINE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016287-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "016287-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Considerate Care Telehealth Valerie Reap Family Nurse Practitioner PC
• Jennifer Lauren Coppola, PH.D., LMFT
• Sheila O'Hara Coughlin, LCSW
• Carolyn L Coveney, MD
• M. Stephanie Cross
• Crouse Medical Practice PLLC (Internist Associates of Central New York)
• Elizabeth Anne Cunningham, M.A. CCC-SLP
• Brytney Valentine Custer, PTA
• CVS Albany, LLC (CVS Pharmacy #07617)
• D.G. Baker Mental Health Counseling Services, PLLC

• Pediatric Occupational Therapist in Manlius, NY
• Providers in Manlius, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.