Crystal Olivia Mandudi, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

122879 Issued in TX

Practice address

716 Indian TRL Ste 140
Harker Heights, TX 76548-5702

Phone

(254) 213-2952

NPI assigned

Jul 26, 2022

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Therapeds Works LLC

  • Occupational Therapist
  • Harker Heights, TX
  • NPI 1265833685
  NPD
• My Health My Resources of Tarrant County

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Worth, TX
  • NPI 1376590422
  NPD (past)

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1801522503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 ANTELOPE TRL APT 223",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765043807",
            "telephone_number": "817-770-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 INDIAN TRL STE 140",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765485702",
            "telephone_number": "254-213-2952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3840 Hulen St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761077269",
            "country_code": "US",
            "telephone_number": "817-569-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDUDI",
        "first_name": "CRYSTAL",
        "middle_name": "OLIVIA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "122879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cora Madetzke, MS CCC SLP
• Jaimi Maldonado
• Tammie Maldonado, LCDC
• Alexandros Maliotis, DDS, MS
• Ratnakar R Mandava, DDS
• Maryam Manesh
• Cindy Manning
• Samantha Manuro
• Nelva March
• Adolph Mares Jr., MD

• All providers in Harker Heights, TX
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.