Active NPI
Kellen James Crooks-Simpkin, COTA
- Occupational Therapy Assistant
- Monterey, CA
National Provider Identifier
1720828700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 7210
- Practice address
- 1501 Skyline Dr
Monterey, CA 93940-4110 - Phone
- (616) 885-0888
- NPI assigned
- May 28, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 7210 | CA | Primary |
Addresses
Primary practice location
1501 Skyline Dr
Monterey, CA 93940-4110
Mailing address
19280 Waasa Rd
Hancock, MI 49930-9647
Phone (616) 885-0888
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1720828700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19280 WAASA RD",
"city": "HANCOCK",
"state": "MI",
"postal_code": "499309647",
"telephone_number": "616-885-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SKYLINE DR",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939404110",
"telephone_number": "616-885-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROOKS-SIMPKIN",
"first_name": "KELLEN",
"middle_name": "JAMES",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-28",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "7210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.