Jennifer Susan Crenshaw, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3779 Issued in ME

Practice address

48 Location Rd
Belgrade, ME 04917-4026

Phone

(971) 270-8727

NPI assigned

Jul 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Crenshaw Care & Rehabilitation

  • Occupational Therapist
  • Belgrade, ME
  • NPI 1215536156
  NPD Authorized official

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1760035968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 LOCATION RD",
            "city": "BELGRADE",
            "state": "ME",
            "postal_code": "049174026",
            "telephone_number": "207-200-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 LOCATION RD",
            "city": "BELGRADE",
            "state": "ME",
            "postal_code": "049174026",
            "telephone_number": "971-270-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "JENNIFER",
        "middle_name": "SUSAN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ME",
            "license": "OT3779",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0005072",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT3779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russ Claybrook, CCC-SLP
• Susan Lynn Claybrook, M.ED,CCC-SLP
• Matthew K Colaluca, PA-C
• Judith W Cook, MD
• Crenshaw Care & Rehabilitation
• Lindsay Dale
• Abigail Lee Dalzell-Dixon, NP
• Deep Well Counseling LLC
• Donald Devine, PHD
• Kami L. Dexter, SPEECH CLINICIAN

• All providers in Belgrade, ME
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.