Active NPI
Myrtle Jacquelyn Crews, OTR/L
- Occupational Therapist
- Warner Robins, GA
National Provider Identifier
1861815938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT004790
- Practice address
- 114 Constitution Dr
Suite 800
Warner Robins, GA 31088-8001 - Phone
- (478) 333-6363
- Fax
- (478) 333-6076
- NPI assigned
- Jan 27, 2014
- Sex
- Female
- Sole proprietor
- No
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 | OT004790 | GA | Primary |
Addresses
Primary practice location
114 Constitution Dr
Suite 800
Warner Robins, GA 31088-8001
Mailing address
114 Constitution Dr
Suite 800
Warner Robins, GA 31088-8001
Phone (478) 333-6363
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 |
|---|---|---|---|
| OT004790 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1861815938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 CONSTITUTION DR",
"address_2": "SUITE 800",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310888001",
"telephone_number": "478-333-6363",
"fax_number": "478-333-6076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 CONSTITUTION DR",
"address_2": "SUITE 800",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310888001",
"telephone_number": "478-333-6363",
"fax_number": "478-333-6076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREWS",
"first_name": "MYRTLE",
"middle_name": "JACQUELYN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-27",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT004790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.