Active NPI
Shannon Maran Crabtree, OTD
- Occupational Therapist
- Sisters, OR
National Provider Identifier
1306554399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 475093
- Practice address
- 411 E Carpenter LN
Sisters, OR 97759-9326 - Phone
- (458) 256-0627
- NPI assigned
- Nov 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 475093 | OR | Primary |
Addresses
Primary practice location
411 E Carpenter LN
Sisters, OR 97759-9326
Mailing address
11518 SE View Top LN
Prineville, OR 97754-9081
Phone (360) 991-4953
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1306554399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11518 SE VIEW TOP LN",
"city": "PRINEVILLE",
"state": "OR",
"postal_code": "977549081",
"telephone_number": "360-991-4953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E CARPENTER LN",
"city": "SISTERS",
"state": "OR",
"postal_code": "977599326",
"telephone_number": "458-256-0627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABTREE",
"first_name": "SHANNON",
"middle_name": "MARAN",
"name_prefix": "Ms.",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-09",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "475093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sisters, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.