Individual provider Active NPI

Gretchen Ann-Becker Crabb, MSE, OTR/L, LPC-IT

  • Occupational Therapist
  • Madison, WI
National Provider Identifier
1982661377
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3697-26 Issued in WI
Practice address
6409 Odana Rd Ste 11
Madison, WI 53719-1177
Phone
(608) 424-8006
NPI assigned
Apr 28, 2006
Last updated
Oct 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 3697-26 WI Primary

Addresses

Primary practice location

6409 Odana Rd Ste 11
Madison, WI 53719-1177

Mailing address

6409 Odana Rd Ste 11
Madison, WI 53719-1177
Phone (608) 424-8006

Other practice location 1

639 Struck St
Madison, WI 53719-1383
Phone (608) 234-5990

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
3697-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Therapy Network Multi-Specialty Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1982661377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 ODANA RD STE 11",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191177",
            "telephone_number": "608-424-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 ODANA RD STE 11",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191177",
            "telephone_number": "608-424-8006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "639 Struck St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537191383",
            "country_code": "US",
            "telephone_number": "608-234-5990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRABB",
        "first_name": "GRETCHEN",
        "middle_name": "ANN-BECKER",
        "credential": "MSE, OTR/L, LPC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "3697-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.