Jacqueline Nicole Crues, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2022022885 Issued in MO

Practice address

1514 McCausland Ave Apt 1N
Saint Louis, MO 63117-1960

Phone

(314) 707-2977

NPI assigned

Aug 9, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1790468478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 SAINT LINUS LN",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630741115",
            "telephone_number": "314-707-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 MCCAUSLAND AVE APT 1N",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171960",
            "telephone_number": "314-707-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUES",
        "first_name": "JACQUELINE",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2022022885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crown Medical Equipment Inc
• Crown of Glory Health Care LLC
• Beth E Crowner, PT
• Rebecca Rose Crowther, MD, PHD
• CRT Home Care Services, LLC
• Brandy Christina Cruesoe, MSW, LCSW
• Theresa M Cruickshank, RNC, NNP, MSN
• Brenndan Lawrence Crumley, MD, MPH
• Mary Maureen Crumley, DPT
• Suzanne Marie Crumley, MD

• Occupational Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.