Active NPI
Marcy Crane
- Occupational Therapy Assistant
- Colorado Springs, CO
National Provider Identifier
1881362598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA.0001680
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA.0001680 | CO | MD | Occupational Therapy Assistant |
| 057.005644 | IL | MD | Occupational 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.