Tara Michele Crews, MS OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1711 Issued in AK

Practice address

1049 Chena Rd Apt 9
Fort Wainwright, AK 99703-1322

Phone

(907) 356-1319

NPI assigned

Jan 26, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235285610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 CHENA RD APT 9",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997031322",
            "telephone_number": "907-356-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 CHENA RD APT 9",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997031322",
            "telephone_number": "907-356-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREWS",
        "first_name": "TARA",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "MS OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "1711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT 1711",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan K Connell
• Rebecca P Conner, RN
• Luis A Contreras Zarate, MD
• Angela Copeland, PT, DPT
• Jacob Cravens, MD
• Amanda Dains, RDH
• Debbie Ann Davis, RN
• Abby Marie Debonis, DDS
• Khanh Dinh, PHARMD
• Benjamin P Donham, MD

• Occupational Therapist in Fort Wainwright, AK
• Providers in Fort Wainwright, AK by specialty
• Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.