Active NPI
Katelyn Rae Crossman, CTRS
- Other Technician
- Bingham Farms, MI
National Provider Identifier
1780119297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 32100 Telegraph Rd
Bingham Farms, MI 48025-2452 - Phone
- (248) 712-4266
- NPI assigned
- Apr 23, 2017
- Last updated
- May 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 67169 | MI | |
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
32100 Telegraph Rd
Bingham Farms, MI 48025-2452
Mailing address
32100 Telegraph Rd
Bingham Farms, MI 48025-2452
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
| License | State | Type | Specialty |
|---|---|---|---|
| 67169 | MI | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1780119297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32100 TELEGRAPH RD",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480252452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32100 TELEGRAPH RD",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480252452",
"telephone_number": "248-712-4266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSSMAN",
"first_name": "KATELYN",
"middle_name": "RAE",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-23",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "MI",
"license": "67169",
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.