Duwayne John Crook, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

10570 Issued in CA

Practice address

8000 N Spring Gulch Rd
Jackson, WY 83001-9307

Phone

(520) 393-9069

NPI assigned

Aug 12, 2021

Last updated

Aug 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1689349599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 N SPRING GULCH RD",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830019307",
            "telephone_number": "520-393-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 N SPRING GULCH RD",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830019307",
            "telephone_number": "520-393-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOK",
        "first_name": "DUWAYNE",
        "middle_name": "JOHN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "10570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "192.168.1.41",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8000 N Spring Gulch Rd",
            "city": "Jackson",
            "state": "WY",
            "country_code": "US",
            "postal_code": "830019307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• County of Teton (Jackson Hole Fire EMS)
• County of Teton (Teton County Health Department)
• Blythe Elizabeth Cox, PA C
• Craig Family Dental, LLC
• Curtis E Cretal, MAC
• Caleb M Cross, DPT
• Blair Crumpler, INTERN
• Curran Seeley
• Curran Seeley Foundation
• Curran-Seeley Foundation

• Occupational Therapist in Jackson, WY
• Providers in Jackson, WY by specialty
• Occupational Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.