Active NPI
Gretchen Ann-Becker Crabb, MSE, OTR/L, LPC-IT
- Occupational Therapist
- Madison, WI
National Provider Identifier
1982661377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3697-26
- Practice address
- 6409 Odana Rd Ste 11
Madison, WI 53719-1177 - Phone
- (608) 424-8006
- NPI assigned
- Apr 28, 2006
- Last updated
- Oct 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3697-26 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.