Caroline Grace Crilly, MS, OTR/L
Individual provider Active NPI Occupational Therapist · Pineville, NC
NPI 1730761925 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1730761925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 17132 (NC)
- Practice address
- 11940 Carolina Place Pkwy Ste 200
Pineville, NC 28134-7471 - Phone
- (704) 541-9080
- NPI assigned
- Apr 27, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17132 | NC | MD | Pharmacy Technician |
| 025604 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17132 | NC | Yes |
| Occupational Therapist | 225X00000X | 025604 | NY |
Addresses
Primary practice location
11940 Carolina Place Pkwy Ste 200
Pineville, NC 28134-7471
Mailing address
8 Grove St
Rochester, NY 14605-2813
Phone (585) 764-2198
Other practice location 1
1000 Elmwood Ave Ste 100
Rochester, NY 14620-3093
Phone (585) 271-0761
Other providers in Pineville, NC
- Elizabeth Ann Cody
- Marilyn McLaurin Collins
- Tony James Connot
- Danielle M Cowles
- Steven Michael Cress
- Irene N/a D'Alessandris
- Sharon Ann D'Ingillo
- Kensie F D'Orio
- Elizabeth Davidson
- Jacob Deese
All providers in Pineville, NC · Occupational Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.