Individual provider Active NPI

Alyssa Crump, M.S., OTR/L

  • Occupational Therapist
  • Lexington, KY
National Provider Identifier
1851791206
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
BOTOCT00195833 Issued in KY
Practice address
2520 Regency Rd
Suite 150
Lexington, KY 40503-2921
Phone
(859) 224-0834
Fax
(859) 224-0882
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X BOTOCT00195833 KY Primary

Addresses

Primary practice location

2520 Regency Rd
Suite 150
Lexington, KY 40503-2921

Mailing address

2520 Regency Rd
Suite 150
Lexington, KY 40503-2921
Phone (859) 224-0834

Other identifiers 1

IdentifierTypeStateIssuer
7100336460MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210304001830 KY Practitioner - Occupational Therapist in Private Practice 7517373277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Kentucky, LLCGroup PAC ID 1850729211, 108 clinicians

Practice addresses (Care Compare)

1165 Monarch St
Lexington, KY 40513-1979
Phone (844) 502-7996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
BOTOCT00195833KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Next PT Group Kentucky, LLC Occupational Therapist CurrentSince Nov 20, 2020 Accepting new patients
On the Move Pedatric Therapy PLLC Occupational Therapist PastSince Jan 1, 2013 Accepting new patients

Locations

6901 Carslaw Ct
Prospect, KY 40059
Phone (502) 480-1794

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1851791206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 REGENCY RD",
            "address_2": "SUITE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032921",
            "telephone_number": "859-224-0834",
            "fax_number": "859-224-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 REGENCY RD",
            "address_2": "SUITE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032921",
            "telephone_number": "859-224-0834",
            "fax_number": "859-224-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMP",
        "first_name": "ALYSSA",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "BOTOCT00195833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100336460",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.