Kathryn Crockett

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5505 W Rolling Hills Dr
Bridgeport, MI 48722-9674

Phone

(989) 331-0623

NPI assigned

Jul 2, 2025

Sex

Female

Sole proprietor

No

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)

Not enrolled

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 and National Provider Directory roles.

• Paramount Rehabilitation Services PC

  • Physical Therapist
  • Bridgeport, MI
  • NPI 1407650799
  NPD
• Paramount Childrens Therapy Center

  • Behavior Analyst
  • Bay City, MI
  • NPI 1871315580
  NPD (past)

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1245129238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 W ROLLING HILLS DR",
            "city": "BRIDGEPORT",
            "state": "MI",
            "postal_code": "487229674",
            "telephone_number": "989-331-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 W ROLLING HILLS DR",
            "city": "BRIDGEPORT",
            "state": "MI",
            "postal_code": "487229674",
            "telephone_number": "989-331-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Takiyalh L Collier
• Mariah J Collins
• Reann Colosky
• Comfort Home Care Services LLC
• Stephanie Crachiolo
• Makenna Marie Csongradi
• Theresa Jean Curtis, BA
• Hanna Lynn Daniels
• Alexandria Jane Davis
• Brett Davis

• Behavior Technician in Bridgeport, MI
• Providers in Bridgeport, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.