Active NPI
Paul Alan Crouch, OTR
- Specialist
- Hood River, OR
National Provider Identifier
1275657462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1021091
- Practice address
- 788 Foxley Rd
Hood River, OR 97031-9722 - Phone
- (541) 806-0047
- Fax
- (541) 386-3868
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1021091 | OR | Primary |
| Specialist | 174400000X | OT00002839 | WA |
Addresses
Primary practice location
788 Foxley Rd
Hood River, OR 97031-9722
Mailing address
788 Foxley Rd
Hood River, OR 97031-9722
Phone (541) 806-0047
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023087 | Medicaid | OR | |
| 7683501 | Medicaid | WA | |
| 337703 | Other | OR | PROVIDENCE HEALTH NUMBER |
| 71981 | Other | OR | HEALTHSCAPE PROVIDER NUM |
| 840393000 | Other | OR | BCBS PROVIDER NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT00002839 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Child Therapeutics | Past | 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 and National Provider Directory roles.
-
- Occupational Therapist
- Hood River, OR
- NPI 1962736199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1275657462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "788 FOXLEY RD",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970319722",
"telephone_number": "541-806-0047",
"fax_number": "541-386-3868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "788 FOXLEY RD",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970319722",
"telephone_number": "541-806-0047",
"fax_number": "541-386-3868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUCH",
"first_name": "PAUL",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "1021091",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "OT00002839",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023087",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7683501",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDENCE HEALTH NUMBER",
"identifier": "337703",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSCAPE PROVIDER NUM",
"identifier": "71981",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "840393000",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.