Individual provider Active NPI

Colleen M. Crook, OTR/L

  • Occupational Therapist
  • Tucson, AZ
National Provider Identifier
1457511230
Registry record updated Jun 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1801 Issued in AZ
Practice address
6651 E Carondelet Dr
Tucson, AZ 85710-2118
Phone
(520) 731-8533
Fax
(520) 731-8530
NPI assigned
Jun 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2008

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 1801 AZ Primary

Addresses

Primary practice location

6651 E Carondelet Dr
Tucson, AZ 85710-2118

Mailing address

6651 E Carondelet Dr
Tucson, AZ 85710-2118
Phone (520) 731-8533

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1801AZMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213401600000",
    "number": "1457511230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102118",
            "telephone_number": "520-731-8533",
            "fax_number": "520-731-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102118",
            "telephone_number": "520-731-8533",
            "fax_number": "520-731-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOK",
        "first_name": "COLLEEN",
        "middle_name": "M.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-14",
        "last_updated": "2008-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "1801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2008; 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.