Active NPI
Camille Crabtree
- Recreation Therapist
- Concord, NC
National Provider Identifier
1528653110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 4025
- Practice address
- 264 Post Oak Ave SW
Concord, NC 28025-5783 - Phone
- (336) 609-0542
- NPI assigned
- Mar 4, 2021
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 4025 | NC | Primary |
Addresses
Primary practice location
264 Post Oak Ave SW
Concord, NC 28025-5783
Mailing address
264 Post Oak Ave SW
Concord, NC 28025-5783
Phone (336) 609-0542
Other names 1
- Miss Camille Elizabeth Bailey
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 |
|---|---|---|---|
| 4025 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1528653110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 POST OAK AVE SW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280255783",
"telephone_number": "336-609-0542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 POST OAK AVE SW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280255783",
"telephone_number": "336-609-0542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABTREE",
"first_name": "CAMILLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-04",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "NC",
"license": "4025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAMILLE",
"last_name": "BAILEY",
"middle_name": "ELIZABETH",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.