Mary Grace Crenshaw, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

TA3544 Issued in MS

Practice address

425 Hospital Dr Ste 6a
Columbus, MS 39705-1901

Phone

(662) 570-8388

NPI assigned

May 9, 2022

Last updated

May 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1619613106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HOSPITAL DR STE 6A",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051901",
            "telephone_number": "662-570-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOSPITAL DR STE 6A",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051901",
            "telephone_number": "662-570-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MS",
            "license": "TA3544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CPPS LLC
• Angie Craddieth
• Precious Craddieth
• Mitchell Ray Crane, DMD
• Creative Health Solutions
• Sarah G Crigler, MS, LPC
• Marcus Crittenden, MD
• Edward Frank Crocker Jr., M.D.
• Tyronda Crowell
• Sherrill Ann Culpepper, LPN

• Occupational Therapy Assistant in Columbus, MS
• Providers in Columbus, MS by specialty
• Occupational Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.

Verify at the official NPI Registry.