Jean Fabruada Crow, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 6324 Issued in CA

Practice address

1955 Lomita Blvd
Lomita, CA 90717-1807

Phone

(310) 325-1970

NPI assigned

May 9, 2007

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

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Life Physical Therapy Services PCGroup PAC ID 7214207125, 94 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• New Life Physical Therapy Services, PC

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1285160788

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• New Life Healthcare, LLC

  • Physical Therapy Clinic/Center
  • Greenville, SC
  • NPI 1275598039
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245444553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 1ST ST",
            "address_2": "UNIT B",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902545321",
            "telephone_number": "310-376-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 LOMITA BLVD",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171807",
            "telephone_number": "310-325-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROW",
        "first_name": "JEAN",
        "middle_name": "FABRUADA",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 6324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ever Risem Centeno
• David Chen, OMD, LAC
• Yunjeong Choi
• Veronica Corrales, MSW, LCSW
• Tomas H Croucier, MSW, LCSW
• Katherine Elizabeth Cubas, MT
• Christina Yong Cummings, MSN,FNP-BC
• Brooke Davis
• DC Acupuncture and Herbs Center
• Anouk De Graauw

• Occupational Therapist in Lomita, CA
• Providers in Lomita, CA by specialty
• Occupational Therapist in California

• 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.
• 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.

Verify at the official NPI Registry.