Laua Ann Crump

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2010031858 Issued in MO

Practice address

11960 Westline Industrial Dr Ste 201
Saint Louis, MO 63146-3209

Phone

(314) 819-0480

NPI assigned

Aug 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laura Ann Hanneke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Supplemental Health Care

  • Physical Therapy Clinic/Center
  • Saint Louis, MO
  • NPI 1700172400
  NPD (past)

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1356866792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10738 BROOKMERE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631233909",
            "telephone_number": "314-852-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 WESTLINE INDUSTRIAL DR STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463209",
            "telephone_number": "314-819-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMP",
        "first_name": "LAUA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2010031858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "HANNEKE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandy Christina Cruesoe, MSW, LCSW
• Theresa M Cruickshank, RNC, NNP, MSN
• Brenndan Lawrence Crumley, MD, MPH
• Mary Maureen Crumley, DPT
• Suzanne Marie Crumley, MD
• Martine Crump, LCSW
• Lynne Marie Cruse, CTRS
• Jacob James Crust, FNP
• Shauntea Crutcher
• Shari L Crutchfield, WHNP

• Occupational Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.