Individual provider Active NPI

Maddison Danielle Croy

  • Occupational Therapist
  • Raymore, MO
National Provider Identifier
1386565703
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2026033805 Issued in MO
Practice address
1710 Stasi Ave
Raymore, MO 64083-8131
Phone
(913) 335-0428
Fax
(913) 273-2572
NPI assigned
Jul 22, 2026
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2026033805 MO Primary

Addresses

Primary practice location

1710 Stasi Ave
Raymore, MO 64083-8131

Mailing address

1710 Stasi Ave
Raymore, MO 64083-8131
Phone (913) 335-0428

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

LicenseStateTypeSpecialty
2026033805MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1386565703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 STASI AVE",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640838131",
            "telephone_number": "913-335-0428",
            "fax_number": "913-273-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 STASI AVE",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640838131",
            "telephone_number": "913-335-0428",
            "fax_number": "913-273-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROY",
        "first_name": "MADDISON",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2026033805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymore, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.