Individual provider Active NPI

Petra Crosby, OT

  • Occupational Therapist
  • Manhattan, KS
National Provider Identifier
1750625018
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2004022211 Issued in MO
Practice address
4761 Tuttle Creek Blvd
Manhattan, KS 66502-9079
Phone
(785) 587-1825
NPI assigned
Nov 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2004022211 MO Primary

Addresses

Primary practice location

4761 Tuttle Creek Blvd
Manhattan, KS 66502-9079

Mailing address

600 Caisson Hill Rd
Fort Riley, KS 66442-7037
Phone (785) 240-7180

Other practice location 1

600 Caisson Hill Rd
Fort Riley, KS 66442-7037
Phone (785) 240-7180

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

LicenseStateTypeSpecialty
2004022211MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
No Stone Unturned Foundation CurrentSince Mar 11, 2025 Accepting new patients

Locations

4761 Tuttle Creek Blvd
Manhattan, KS 66502
Phone (785) 587-1825

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": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1750625018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CAISSON HILL RD",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664427037",
            "telephone_number": "785-240-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4761 TUTTLE CREEK BLVD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665029079",
            "telephone_number": "785-587-1825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Caisson Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Riley",
            "state": "KS",
            "postal_code": "664427037",
            "country_code": "US",
            "telephone_number": "785-240-7180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "PETRA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2004022211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.