Active NPI
Callie Margo Cruchon, OTR/L
- Occupational Therapist
- Tacoma, WA
National Provider Identifier
1821257585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3438
- Practice address
- 1720 E 67TH St
Tacoma, WA 98404-4223 - Phone
- (253) 474-3563
- NPI assigned
- Jun 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT3438 | WA | Primary |
Addresses
Primary practice location
1720 E 67TH St
Tacoma, WA 98404-4223
Mailing address
8611 72ND Avenue CT SW
Lakewood, WA 98499-1993
Phone (253) 691-0827
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 |
|---|---|---|---|
| OT3438 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1821257585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8611 72ND AVENUE CT SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984991993",
"telephone_number": "253-691-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 E 67TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984044223",
"telephone_number": "253-474-3563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUCHON",
"first_name": "CALLIE",
"middle_name": "MARGO",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT3438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.