Individual provider Active NPI

Crystal Koster, MOT/L

  • Occupational Therapist
  • Chambersburg, PA
National Provider Identifier
1770823833
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
06296 Issued in MD
Practice address
2085 Wayne Rd
Chambersburg, PA 17202-8586
Phone
(717) 709-0668
NPI assigned
Feb 26, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC015564 PA
Occupational Therapist 225X00000X 06296 MD Primary

Addresses

Primary practice location

2085 Wayne Rd
Chambersburg, PA 17202-8586

Mailing address

12525 Rockdale Rd
Clear Spring, MD 21722-1532

Other practice location 1

1175 Professional Ct
Hagerstown, MD 21740-5906
Phone (301) 733-5015

Other names 1

  • Miss Crystal Sebald Former name

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
06296MDMDPsychologist
OC015564PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770823833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12525 ROCKDALE RD",
            "city": "CLEAR SPRING",
            "state": "MD",
            "postal_code": "217221532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 WAYNE RD",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172028586",
            "telephone_number": "717-709-0668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1175 Professional Ct",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405906",
            "country_code": "US",
            "telephone_number": "301-733-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSTER",
        "first_name": "CRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "MOT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC015564",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "SEBALD",
            "prefix": "MISS",
            "credential": "MOT/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.