Active NPI
Crystal Leah Cross, COTA
- Occupational Therapy Assistant
- Pflugerville, TX
National Provider Identifier
1467979906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 208742
- Practice address
- 1401 W Pecan St
Pflugerville, TX 78660-2518 - Phone
- (512) 594-0000
- NPI assigned
- Aug 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 208742 | TX | Primary |
Addresses
Primary practice location
1401 W Pecan St
Pflugerville, TX 78660-2518
Mailing address
1113 Darjeeling Dr
Pflugerville, TX 78660-3002
Phone (512) 507-8280
Other practice location 1
8701 N Mopac Expy Apt 1004
Austin, TX 78759-8376
Phone (512) 507-8280
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
| License | State | Type | Specialty |
|---|---|---|---|
| 208742 | TX | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pflugerville I.S.D. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Pflugerville, TX
- NPI 1821125121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1467979906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 DARJEELING DR",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786603002",
"telephone_number": "512-507-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W PECAN ST",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786602518",
"telephone_number": "512-594-0000"
}
],
"practiceLocations": [
{
"address_1": "8701 N Mopac Expy Apt 1004",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787598376",
"country_code": "US",
"telephone_number": "512-507-8280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROSS",
"first_name": "CRYSTAL",
"middle_name": "LEAH",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "208742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pflugerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.