Individual provider Active NPI

Andrew Craig

  • Hand Occupational Therapist
  • Hollywood, FL
National Provider Identifier
1346658481
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
17897 Issued in FL
Practice address
4420 Sheridan St Ste a
Hollywood, FL 33021-3552
Phone
(754) 201-1340
Fax
(754) 484-3918
NPI assigned
Jul 31, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 17897 FL Primary

Addresses

Primary practice location

4420 Sheridan St Ste a
Hollywood, FL 33021-3552

Mailing address

4420 Sheridan St Ste a
Hollywood, FL 33021-3552
Phone (754) 201-1340

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200610001007 FL Practitioner - Occupational Therapist in Private Practice 6608297007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4420 Sheridan St
Suite a
Hollywood, FL 33021-3552
Phone (754) 201-1340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17897FLMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Hills Hand Therapy LLC Occupational Therapist CurrentSince Jan 1, 2020 Accepting new patients
Kessler Institute for Rehabilitation Inc Past Accepting new patients
Kessler Institute for Rehabilitation, Inc. Past Accepting new patients

Locations

4420 Sheridan St
Ste A
Hollywood, FL 33021
Phone (754) 201-1340

Organizations & group practices 3

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": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1346658481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 SHERIDAN ST STE A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213552",
            "telephone_number": "754-201-1340",
            "fax_number": "754-484-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 SHERIDAN ST STE A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213552",
            "telephone_number": "754-201-1340",
            "fax_number": "754-484-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-31",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "17897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; 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.