Individual provider Active NPI

Susan Crook

  • Occupational Therapist
  • Indianapolis, IN
National Provider Identifier
1477708055
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31001362A Issued in IN
Practice address
7001 Hoover Rd
Indianapolis, IN 46260-4169
Phone
(317) 251-2261
NPI assigned
Nov 24, 2008
Last updated
Sep 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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 31001362A IN Primary

Addresses

Primary practice location

7001 Hoover Rd
Indianapolis, IN 46260-4169

Mailing address

4625 E Stop 11 Rd
Suite B
Indianapolis, IN 46237-9101
Phone (317) 884-3383

Other practice location 1

222 S 25th St Apt 435
Terre Haute, IN 47803-1866
Phone (317) 887-1600

Other practice location 2

4625 E Stop 11 Rd
Suite B
Indianapolis, IN 46237-9101
Phone (317) 884-3383

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

Practice roles

OrganizationSpecialtyStatusNew patients
TX:Team Rehab Inc. Occupational Therapist 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, 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": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1477708055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 E STOP 11 RD",
            "address_2": "SUITE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379101",
            "telephone_number": "317-884-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 HOOVER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462604169",
            "telephone_number": "317-251-2261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 S 25th St Apt 435",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478031866",
            "country_code": "US",
            "telephone_number": "317-887-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4625 E Stop 11 Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462379101",
            "country_code": "US",
            "telephone_number": "317-884-3383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROOK",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31001362A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.