Individual provider Active NPI

Kyle Daniel Croft, OT

  • Occupational Therapist
  • Spokane Valley, WA
National Provider Identifier
1285389718
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61251810 Issued in WA
Practice address
15920 E Indiana Ave Ste 101
Spokane Valley, WA 99216-6012
Phone
(509) 209-7429
Fax
(509) 340-9942
NPI assigned
Feb 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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 OT61251810 WA Primary

Addresses

Primary practice location

15920 E Indiana Ave Ste 101
Spokane Valley, WA 99216-6012

Mailing address

319 S Cedar St
Spokane, WA 99201-7029
Phone (509) 209-7429

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hello@ssptherapy.com

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
OT61251810WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stones Pediatric Therapy PastSince Feb 24, 2022 Accepting new patients
SSPT Clinic Occupational Therapist PastSince Feb 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1285389718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S CEDAR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992017029",
            "telephone_number": "509-209-7429",
            "fax_number": "509-340-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15920 E INDIANA AVE STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992166012",
            "telephone_number": "509-209-7429",
            "fax_number": "509-340-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFT",
        "first_name": "KYLE",
        "middle_name": "DANIEL",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61251810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hello@ssptherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "15920 E Indiana Ave Ste 101",
            "city": "Spokane Valley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992166012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.