Individual provider Active NPI

Marcy Crane

  • Occupational Therapy Assistant
  • Colorado Springs, CO
National Provider Identifier
1881362598
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA.0001680 Issued in CO
Practice address
5920 Walsh PT # 5920-204
Colorado Springs, CO 80919-2063
Phone
(217) 254-3018
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 057.005644 IL
Occupational Therapy Assistant 224Z00000X OTA.0001680 CO Primary

Addresses

Primary practice location

5920 Walsh PT # 5920-204
Colorado Springs, CO 80919-2063

Mailing address

230 Taylor LN
Arthur, IL 61911-1675
Phone (217) 254-3018

Other practice location 1

230 Taylor Ln
Arthur, IL 61911-1675
Phone (217) 254-3018

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

LicenseStateTypeSpecialty
OTA.0001680COMDOccupational Therapy Assistant
057.005644ILMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1881362598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 TAYLOR LN",
            "city": "ARTHUR",
            "state": "IL",
            "postal_code": "619111675",
            "telephone_number": "217-254-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 WALSH PT # 5920-204",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192063",
            "telephone_number": "217-254-3018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Taylor Ln",
            "address_purpose": "LOCATION",
            "city": "Arthur",
            "state": "IL",
            "postal_code": "619111675",
            "country_code": "US",
            "telephone_number": "217-254-3018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANE",
        "first_name": "MARCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.005644",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.0001680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.