Alexis Crescitelli

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056027395 Issued in IL

Practice address

1725 Shomaker Dr
Murphysboro, IL 62966-2507

Phone

(646) 770-6632

NPI assigned

Oct 13, 2026

Last updated

Oct 13, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1588569198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 RODD ST",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629181103",
            "telephone_number": "646-770-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 SHOMAKER DR",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629662507",
            "telephone_number": "646-770-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESCITELLI",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056027395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Murphysboro, IL
• Providers in Murphysboro, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.