Active NPI
Olivia Craig
- Occupational Therapist
- Port Orange, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60822773
- Practice address
- 5535 S Williamson Blvd
Port Orange, FL 32128-8311 - Phone
- (888) 265-2680
- NPI assigned
- Jan 15, 2018
- Last updated
- Jan 15, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT60822773 | WA | Primary |
Addresses
Primary practice location
5535 S Williamson Blvd
Port Orange, FL 32128-8311
Mailing address
9751 Fox Chapel Rd
Tampa, FL 33647-1827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10511 19TH Ave SE
Suite B
Everett, WA 98208-4279
Phone (425) 372-7092
19221 36TH Ave W
Suite 213
Lynnwood, WA 98036-5700
Phone (425) 368-7943
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT60822773 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Rehabilitation PLLC | Occupational Therapist | Current | Accepting new patients |
| Summit Rehabilitation PLLC | Occupational Therapist | Current | Accepting new patients |
| Hands for Living LLC | Occupational Therapist | Current | Accepting new patients |
Locations
10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885
19221 36th Ave W
Ste 213
Lynnwood, WA 98036
Phone (425) 368-7943
3719 88th St NE
Ste A
Marysville, WA 98270
Phone (360) 659-9621
16150 NE 85th St
Ste 116
Redmond, WA 98052
Phone (425) 881-1921
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Summit Rehab
- Multi-Specialty Clinic/Center
- Lake Stevens, WA
- NPI 1558492934
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515974400000",
"number": "1679081475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9751 FOX CHAPEL RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336471827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5535 S WILLIAMSON BLVD",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321288311",
"telephone_number": "888-265-2680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "OLIVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-15",
"last_updated": "2018-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60822773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.