Jennifer Elaine Crockett, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

02900 Issued in MD

Practice address

2225 Old Emmorton Road
Suite 210
Bel Air, MD 21015-6123

Phone

(410) 515-4900

Fax

(410) 515-0777

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Drayer Physical Therapy of Maryland LLC

  • Physical Therapist
  • Aberdeen, MD
  • NPI 1780009001
  Medicare reassignment
• The Maryland Therapy Network, Inc

  • Speech-Language Pathologist
  • Bel Air, MD
  • NPI 1770611394

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649309188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 GRACE MANOR DRIVE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "21078",
            "telephone_number": "410-939-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 OLD EMMORTON ROAD",
            "address_2": "SUITE 210",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156123",
            "telephone_number": "410-515-4900",
            "fax_number": "410-515-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "02900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "62041301",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Susan Cramer, CPHT
• Eric R Crapster, PA
• Crescent Behavioral Health Clinic, LLC
• Candace Corinne Crew, LCSW-C
• Krystal Crisostomo
• Tracy Lynn Crose-Hamm, CRNP
• Michele Crotty
• Maria Teresa Crouse, P.T.
• Jason Donald Crowl, NP
• Kristy A Crump, LCPC, NCC

• Occupational Therapist in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.