Individual provider Active NPI

Renee Samone Watson-Crosby, OTR

  • Occupational Therapist
  • Westland, MI
National Provider Identifier
1639337264
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201007293 Issued in MI
Practice address
36705 Spanish Oak Dr
Westland, MI 48186-3403
Phone
(313) 740-5019
Fax
(313) 740-5019
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X 5201007293 MI Primary

Addresses

Primary practice location

36705 Spanish Oak Dr
Westland, MI 48186-3403

Mailing address

36705 Spanish Oak Dr
Westland, MI 48186-3403
Phone (313) 740-5019

Other practice location 1

32726 Winona
Westland, MI 48185
Phone (734) 427-3325

Other names 1

  • Renee Watson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081023000455 MI Practitioner - Occupational Therapist in Private Practice 7618035437 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201007293MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Jul 1, 2025 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Jul 1, 2025 Accepting new patients

Locations

3041 Charlevoix Dr SE
Grand Rapids, MI 49546
Phone (616) 552-7255

2885 10 Mile Rd NE
Rockford, MI 49341
Phone (616) 326-0010

46471 Hayes Rd
Shelby Township, MI 48315
Phone (586) 532-9559

7005 Pontiac Trl
West Bloomfield, MI 48323
Phone (248) 681-2476

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1639337264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36705 SPANISH OAK DR",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481863403",
            "telephone_number": "313-740-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36705 SPANISH OAK DR",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481863403",
            "telephone_number": "313-740-5019",
            "fax_number": "313-740-5019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32726 Winona",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "48185",
            "country_code": "US",
            "telephone_number": "734-427-3325",
            "fax_number": "734-427-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON-CROSBY",
        "first_name": "RENEE",
        "middle_name": "SAMONE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "WATSON",
            "credential": "OTR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.