Madison Crim, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Dawson Springs, KY
NPI 1417529413 · NPPES record last updated May 4, 2023
Key facts
- NPI
- 1417529413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 269420 (KY)
- Practice address
- 213 Water St
Dawson Springs, KY 42408-1727 - Phone
- (270) 797-2025
- NPI assigned
- Jul 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269420 | KY | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 269420 | KY | Yes |
Addresses
Primary practice location
213 Water St
Dawson Springs, KY 42408-1727
Mailing address
100 W Ramsey St
Dawson Springs, KY 42408-1818
Other providers in Dawson Springs, KY
- Common Ground Mental Health LLC
- Commonwealth of Kentucky
- Commonwealth of Kentucky
- Telisa Rena Cotton
- Maryssa Jean Coyle
- Dianna Davis-Peyton
- Jacob Ryan Davis
- Dawson Pointe, LLC
- Dawson Springs Independent Schools Board of Education
- Madison Leigh Evans
All providers in Dawson Springs, KY · Occupational Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.