Individual provider Active NPI

Dallas Crystal Largar, MS, OTR/L

  • Occupational Therapist
  • New Windsor, NY
National Provider Identifier
1770151508
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
025494 Issued in NY
Practice address
59 Windsor Hwy
New Windsor, NY 12553-6233
Phone
(845) 485-9803
NPI assigned
Jun 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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 025494 NY Primary

Addresses

Primary practice location

59 Windsor Hwy
New Windsor, NY 12553-6233

Mailing address

6207 Clark St
New Windsor, NY 12553-8283
Phone (845) 492-6879

Other practice location 1

167 Myers Corners Rd
Wappingers Falls, NY 12590-3869
Phone (845) 485-9803

Other practice location 2

59 Windsor Highway
Suite 220
New Windsor, NY 12553
Phone (845) 485-9803 ext. 9223

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
025494NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1770151508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 CLARK ST",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125538283",
            "telephone_number": "845-492-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 WINDSOR HWY",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125536233",
            "telephone_number": "845-485-9803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 Myers Corners Rd",
            "address_purpose": "LOCATION",
            "city": "Wappingers Falls",
            "state": "NY",
            "postal_code": "125903869",
            "country_code": "US",
            "telephone_number": "845-485-9803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Windsor Highway",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "New Windsor",
            "state": "NY",
            "postal_code": "12553",
            "country_code": "US",
            "telephone_number": "845-485-9803 x9223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARGAR",
        "first_name": "DALLAS",
        "middle_name": "CRYSTAL",
        "name_prefix": "Miss",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.