Individual provider Active NPI

Crystal D Henry, OTR/L,CHT

  • Hand Occupational Therapist
  • Mountain Home, AR
National Provider Identifier
1700215662
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OTR1340 Issued in AR
Practice address
804 Coley Dr
Mountain Home, AR 72653-2523
Phone
(870) 424-2224
Fax
(870) 424-0493
NPI assigned
Nov 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR1340 AR
Environmental Modification Occupational Therapist 225XE0001X OTR1340 AR
Neurorehabilitation Occupational Therapist 225XN1300X OTR1340 AR
Physical Rehabilitation Occupational Therapist 225XP0019X OTR1340 AR
Pediatric Occupational Therapist 225XP0200X OTR1340 AR
Hand Occupational Therapist 225XH1200X OTR1340 AR Primary

Addresses

Primary practice location

804 Coley Dr
Mountain Home, AR 72653-2523

Mailing address

804 Coley Dr
Mountain Home, AR 72653-2523
Phone (870) 424-2224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140527000873 AR Practitioner - Occupational Therapist in Private Practice 4688897564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Specialists of the Ozarks, LLCGroup PAC ID 2769607266, 5 clinicians

Practice addresses (Care Compare)

804 Coley Dr
Mountain Home, AR 72653-2523
Phone (870) 424-2224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR1340ARMDNeurorehabilitation Occupational Therapist

Organizations & group practices 1

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": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1700215662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 COLEY DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532523",
            "telephone_number": "870-424-2224",
            "fax_number": "870-424-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 COLEY DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532523",
            "telephone_number": "870-424-2224",
            "fax_number": "870-424-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "CRYSTAL",
        "middle_name": "D",
        "credential": "OTR/L,CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR1340",
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "AR",
            "license": "OTR1340",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "AR",
            "license": "OTR1340",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "AR",
            "license": "OTR1340",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR1340",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AR",
            "license": "OTR1340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.

Verify at the official NPI Registry.