Courtney Lillian Crunk, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

BOTOTA00222629 Issued in KY

Practice address

5420 Fruitwood Dr
Louisville, KY 40272-4916

Phone

(502) 609-0149

NPI assigned

Oct 18, 2021

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1922761709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 FRUITWOOD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402724916",
            "telephone_number": "502-609-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 FRUITWOOD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402724916",
            "telephone_number": "502-609-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUNK",
        "first_name": "COURTNEY",
        "middle_name": "LILLIAN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "BOTOTA00222629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger Bourne Crumbo
• Karen Crume
• Gary Lee Crump, M.D.
• Jack Crump, RN, BSN
• Jamesena Crump, SPEECH PATHOLOGIST
• Rachel Cruse
• Amy Lynn Crush, APRN
• Brigid Crush, RN CDE
• Dawn Alicia May Crutcher Afitlhile, CSW
• Diane L. Crutcher

• Occupational Therapy Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Occupational Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.