Individual provider Active NPI

Crystal Tallent, OTR/L

  • Occupational Therapist
  • Owensboro, KY
National Provider Identifier
1316254386
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
R4041 Issued in KY
Practice address
1101 E Byers Ave
Owensboro, KY 42303-7516
Phone
(270) 645-5004
Fax
(270) 414-0072
NPI assigned
Sep 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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 R4041 KY Primary

Addresses

Primary practice location

1101 E Byers Ave
Owensboro, KY 42303-7516

Mailing address

1712 Fawn Dr
Owensboro, KY 42303-1842
Phone (270) 314-7480

Other identifiers 1

IdentifierTypeStateIssuer
7100335870MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251008001142 KY Practitioner - Occupational Therapist in Private Practice 3779080544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1101 E Byers Ave
Owensboro, KY 42303-7516
Phone (270) 645-5004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Opportunity Center of Owensboro, Inc CurrentSince Jul 20, 2025 Accepting new patients
Opportunity Center of Owensboro, Inc Occupational Therapist CurrentSince Jul 20, 2025 Accepting new patients

Locations

1101 E Byers Ave
Owensboro, KY 42303
Phone (270) 645-5004

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": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1316254386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 FAWN DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031842",
            "telephone_number": "270-314-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E BYERS AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037516",
            "telephone_number": "270-645-5004",
            "fax_number": "270-414-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLENT",
        "first_name": "CRYSTAL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R4041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100335870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.