Mary Crompton, OTR

Primary specialty

SpecialistTaxonomy code 174400000X

License

111751 Issued in TX

Practice address

3409 Executive Center Dr
Suite 113
Austin, TX 78731-1600

Phone

(512) 359-3703

Fax

(877) 482-2905

NPI assigned

Mar 17, 2014

Last updated

Mar 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• Laguna Beach Rehab Inc

  • Clinic/Center
  • Laguna Beach, CA
  • NPI 1578514832
  NPD

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1215353156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 EXECUTIVE CENTER DR",
            "address_2": "SUITE 113",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311600",
            "telephone_number": "512-359-3703",
            "fax_number": "877-482-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 EXECUTIVE CENTER DR",
            "address_2": "SUITE 113",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311600",
            "telephone_number": "512-359-3703",
            "fax_number": "877-482-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMPTON",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "111751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Nicole Croes, CAA
• Leighann Austin Croft, RN, CPNP
• Kelli Duncan Croll, PT
• William H. Cromack
• Amanda S Crombie
• Elyse Cronin Barron, DDS
• Lisa Anne Cronin, PA-C
• Antonia Catherine Crook, LPC-A
• Evan Crook, RD
• Gretchen L Crook, MD

• Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.