Beth K Crump, MS OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT003848 Issued in GA

Practice address

2631 Forest Way NE
Marietta, GA 30066

Phone

(770) 540-0100

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1346313426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 FOREST WAY NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300661492",
            "telephone_number": "770-540-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 FOREST WAY NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30066",
            "telephone_number": "770-540-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMP",
        "first_name": "BETH",
        "middle_name": "K",
        "credential": "MS  OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT003848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "477650451A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crowncare
• Brooke Nicole Croxton, DMD
• David W. Croxton, D.M.D.
• Hunter Croxton, DMD
• Kayla Miriam Rogers Crumbley, RN, CPNP
• Naa Jamah Crump, DC
• Terry A Crump, PH.D.
• Teryl Crump
• Alicia Ann Crusse, D.C.
• Elaine Cruz-Abril, DC

• Pediatric Occupational Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.