Active NPI
Amber Richele Crawford, COTA/L
- Occupational Therapy Assistant
- Boise, ID
National Provider Identifier
1700350816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA-1968
- Practice address
- 4696 W Overland Rd Ste 232
Boise, ID 83705-2864 - Phone
- (208) 908-6116
- NPI assigned
- Jan 11, 2019
- 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 Therapy Assistant | 224Z00000X | OTA-1968 | ID | Primary |
Addresses
Primary practice location
4696 W Overland Rd Ste 232
Boise, ID 83705-2864
Mailing address
1336 S Edgewater Cir Apt 202
Nampa, ID 83686-6283
Phone (740) 424-3140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA-1968 | ID | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho Speech & Swallow Services | Past | Accepting new patients | |
| Ada Therapy Services PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Boise, ID
- NPI 1285133017
-
- Speech-Language Pathologist
- Boise, ID
- NPI 1104416288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1700350816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1336 S EDGEWATER CIR APT 202",
"city": "NAMPA",
"state": "ID",
"postal_code": "836866283",
"telephone_number": "740-424-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4696 W OVERLAND RD STE 232",
"city": "BOISE",
"state": "ID",
"postal_code": "837052864",
"telephone_number": "208-908-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "AMBER",
"middle_name": "RICHELE",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-11",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "ID",
"license": "OTA-1968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.