Individual provider Active NPI

Kendall Crawford

  • Pediatric Occupational Therapist
  • Chesterfield, MI
National Provider Identifier
1710651989
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
5201011297 Issued in MI
Practice address
30330 Hickey Rd
Chesterfield, MI 48051-3911
Phone
(586) 421-4062
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 5201011297 MI Primary

Addresses

Primary practice location

30330 Hickey Rd
Chesterfield, MI 48051-3911

Mailing address

30330 Hickey Rd
Chesterfield, MI 48051-3911

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201011297MIMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Therapeutic Learning and Communication, PLLC Pediatrics CurrentSince Jan 5, 2025 Accepting new patients
Quality Care Rehabilitation Professionals PastSince Jul 15, 2021 Accepting new patients

Locations

30330 Hickey Rd
Chesterfield, MI 48051
Phone (586) 421-4062

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.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1710651989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30330 HICKEY RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480513911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30330 HICKEY RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480513911",
            "telephone_number": "586-421-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "KENDALL",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201011297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.