Individual provider Active NPI

Suzanne Mortimer-Crawford, O.T.

  • Occupational Therapist
  • Ventura, CA
National Provider Identifier
1952744088
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4901 Issued in CA
Practice address
3525 Loma Vista Rd
Ventura, CA 93003-3101
Phone
(805) 641-6424
Fax
(805) 641-6415
NPI assigned
Apr 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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 OT4901 CA Primary

Addresses

Primary practice location

3525 Loma Vista Rd
Ventura, CA 93003-3101

Mailing address

2361 Amberly PL
Simi Valley, CA 93065-2511
Phone (805) 641-6424

Other identifiers 1

IdentifierTypeStateIssuer
OT4901OtherCAOT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130513000571 CA Practitioner - Occupational Therapist in Private Practice 5193962066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garrett Physical Therapy Services, Inc.Group PAC ID 1052691383, 2 clinicians

Practice addresses (Care Compare)

550 Rushing Creek PL
Thousand Oaks, CA 91360-2664
Phone (805) 501-4709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Garrett Physical Therapy Services, Inc. CurrentSince Oct 10, 2017 Accepting new patients

Organizations & group practices 2

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": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1952744088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 AMBERLY PL",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652511",
            "telephone_number": "805-641-6424",
            "fax_number": "805-641-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033101",
            "telephone_number": "805-641-6424",
            "fax_number": "805-641-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTIMER-CRAWFORD",
        "first_name": "SUZANNE",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT4901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OT4901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.