Individual provider Active NPI

Jessica Crafton, OTR/L

  • Occupational Therapist
  • Grand Rapids, MI
National Provider Identifier
1275996597
Registry record updated Dec 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201009407 Issued in MI
Practice address
1305 Walker Ave N.W.
Grand Rapids, MI 49504
Phone
(616) 419-3095
Fax
(616) 419-3147
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201009407 MI Primary

Addresses

Primary practice location

1305 Walker Ave N.W.
Grand Rapids, MI 49504

Mailing address

1305 Walker Ave N.W
Grand Rapids, MI 49504
Phone (616) 419-3095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181220000777 MI Practitioner - Occupational Therapist in Private Practice 5890055651 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201009407MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Crafton LLC CurrentSince Dec 15, 2025 Accepting new patients

Locations

1005 Lake Dr SE
Grand Rapids, MI 49506
Phone (616) 274-0814

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.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1275996597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WALKER AVE N.W",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49504",
            "telephone_number": "616-419-3095",
            "fax_number": "616-419-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WALKER AVE N.W.",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49504",
            "telephone_number": "616-419-3095",
            "fax_number": "616-419-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAFTON",
        "first_name": "JESSICA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.