Individual provider Active NPI

Alexis Crocker, OTD, OTR/L

  • Occupational Therapist
  • Spartanburg, SC
National Provider Identifier
1467287672
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7337 Issued in SC
Practice address
128 Garner Rd
Spartanburg, SC 29303-3149
Phone
(864) 591-3484
NPI assigned
Sep 6, 2024
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17148 NC
Occupational Therapist 225X00000X 7337 SC Primary

Addresses

Primary practice location

128 Garner Rd
Spartanburg, SC 29303-3149

Mailing address

536 Asbury Neely Way
Roebuck, SC 29376-3354

Other practice location 1

2557 Pembroke Rd
Gastonia, NC 28054-4712
Phone (980) 320-8275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250320003096 SC Practitioner - Occupational Therapist in Private Practice 6709308547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

104 Dillon Dr
Spartanburg, SC 29307-1018
Phone (864) 278-0233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17148NCMDPhysical Therapist
7337SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Better Beginnings, Inc CurrentSince Apr 20, 2025 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Feb 10, 2025 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Feb 10, 2025 Accepting new patients

Locations

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

104 Dillon Dr
Spartanburg, SC 29307
Phone (864) 278-0233

128 Garner Rd
Spartanburg, SC 29303
Phone (864) 591-3484

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1467287672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 ASBURY NEELY WAY",
            "city": "ROEBUCK",
            "state": "SC",
            "postal_code": "293763354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 GARNER RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033149",
            "telephone_number": "864-591-3484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2557 Pembroke Rd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280544712",
            "country_code": "US",
            "telephone_number": "980-320-8275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "ALEXIS",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "17148",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "7337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.