Kelly Louise Crocker, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT21346 Issued in FL

Practice address

22 Sarasota Center Blvd
Sarasota, FL 34240-9770

Phone

(941) 377-9361

NPI assigned

Nov 4, 2020

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

Practice roles

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.

• Sensory Solutions Sarasota

  • Occupational Therapist
  • Sarasota, FL
  • NPI 1487967758

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1821699042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 BLOSSOM DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394713",
            "telephone_number": "941-780-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SARASOTA CENTER BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342409770",
            "telephone_number": "941-377-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "KELLY",
        "middle_name": "LOUISE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Credentialing Connection, LLC
• Creekside Rehab Opco, LLC
• Joseph J Creevy, MD
• Crescent Operations, LLC
• Shannon Marie Crespo, SLP
• Jenny Phuong Crone
• Erin Cronin, RPH
• Scott Cronin, P.T.A
• Robert Michael Cropper, D.P.M.
• Emily Josephine Cross, DC

• Occupational Therapist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.