Individual provider Active NPI

Mickeya Shantrel Crawford

  • Occupational Therapy Assistant
  • Tallahassee, FL
National Provider Identifier
1265316772
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA20240 Issued in FL
Practice address
6135 Williams Rd
Tallahassee, FL 32311-9107
Phone
(850) 294-9716
Fax
(888) 604-2089
NPI assigned
Aug 5, 2025
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA20240 FL Primary

Addresses

Primary practice location

6135 Williams Rd
Tallahassee, FL 32311-9107

Mailing address

151 Trails End Rd
Bainbridge, GA 39817-6736
Phone (229) 220-5106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTA20240FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lori McCoy Therapy, LLC PastSince Aug 10, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1265316772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 TRAILS END RD",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398176736",
            "telephone_number": "229-220-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 WILLIAMS RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323119107",
            "telephone_number": "850-294-9716",
            "fax_number": "888-604-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "MICKEYA",
        "middle_name": "SHANTREL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA20240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.