Jessica Crafton LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

JESSICA CRAFTON LLC

Doing business as

Balanced Babies Therapy Services

Practice address

1005 Lake Dr SE
Grand Rapids, MI 49506-1536

Phone

(616) 274-0814

NPI assigned

Jun 9, 2023

Last updated

Jun 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Carrie CraftonNPI 1275996597

Title

Owner

Phone

(219) 877-8785

Specialties & licenses 1

Addresses

Other names 1

• Balanced Babies Therapy Services Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Crafton, OTR/L

  • Occupational Therapist
  • Grand Rapids, MI
  • NPI 1275996597
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1962186007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 THORNAPPLE BAYOU DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495129715",
            "telephone_number": "219-877-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 LAKE DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061536",
            "telephone_number": "616-274-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA CRAFTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "CRAFTON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-877-8785"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced Babies Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Occupational Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.