Active NPI
Crystal Austin, OTR/L
- Occupational Therapist
- Lake Zurich, IL
National Provider Identifier
1376959809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.010551
- Practice address
- 900 S Rand Rd
Lake Zurich, IL 60047-2450 - Phone
- (847) 726-1200
- NPI assigned
- Jul 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 056.010551 | IL | Primary |
Addresses
Primary practice location
900 S Rand Rd
Lake Zurich, IL 60047-2450
Mailing address
900 S Rand Rd
Lake Zurich, IL 60047-2450
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.010551 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortlyn Therapy, PC | Occupational Therapist | Current | Accepting new patients |
Locations
28100 Torch Pkwy
Ste 600
Warrenville, IL 60555
Phone (630) 250-4576
7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817
Organizations & group practices 1
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": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1376959809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S RAND RD",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600472450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S RAND RD",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600472450",
"telephone_number": "847-726-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "CRYSTAL",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-03",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.010551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Zurich, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.