Kathleen Susan Crim, OCCUPATIONAL THERAPI

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-005575 Issued in OH

Practice address

42 South Chestnut Street
Jefferson Rehab and Wellness
Jefferson, OH 44047

Phone

(440) 576-0043

Fax

(440) 576-0187

NPI assigned

Aug 22, 2014

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

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.

• Jefferson Rehabilitation and Wellness LLC

  • Physical Therapy Clinic/Center
  • Jefferson, OH
  • NPI 1619031184
  NPD (past)

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1386043669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SHEPARD ROAD",
            "city": "ASHTABULAR",
            "state": "OH",
            "postal_code": "44004",
            "telephone_number": "440-992-0163",
            "fax_number": "440-228-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 SOUTH CHESTNUT STREET",
            "address_2": "JEFFERSON REHAB AND WELLNESS",
            "city": "JEFFERSON",
            "state": "OH",
            "postal_code": "44047",
            "telephone_number": "440-576-0043",
            "fax_number": "440-576-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIM",
        "first_name": "KATHLEEN",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "OCCUPATIONAL THERAPI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT-005575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Sue Cicon, P.T.
• Laxman Reddy Cingireddi, M.D.,
• Community Dialysis Center
• Jamie Christina Costella
• County of Ashtabula
• Donald Edward Cuddy
• Sheryl Lynn Cuddy
• Adam Matthew Davis, FNP
• Amanda Fay Derosa, RN
• Renee S Dibble

• Occupational Therapist in Jefferson, OH
• Providers in Jefferson, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.