Active NPI
Malinda Jo Craymer, COTA/L
- Occupational Therapy Assistant
- Grand Haven, MI
National Provider Identifier
1992313449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5202002444
- Practice address
- 900 S Beacon Blvd
Grand Haven, MI 49417-2146 - Phone
- (616) 296-7300
- NPI assigned
- Jul 21, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Occupational Therapy Assistant | 224ZL0004X | 5202002444 | MI | |
| Occupational Therapy Assistant | 224Z00000X | 5202002444 | MI | Primary |
Addresses
Primary practice location
900 S Beacon Blvd
Grand Haven, MI 49417-2146
Mailing address
Select Rehab LLC
2600 Compass Rd
Glenview, IL 60026
Phone (616) 638-7528
Other names 1
- Mrs. Malinda Jo Craymer
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 |
|---|---|---|---|
| 5202002444 | MI | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1992313449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SELECT REHAB LLC",
"address_2": "2600 COMPASS RD",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "60026",
"telephone_number": "616-638-7528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S BEACON BLVD",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172146",
"telephone_number": "616-296-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAYMER",
"first_name": "MALINDA",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-21",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "224ZL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Low Vision",
"state": "MI",
"license": "5202002444",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MI",
"license": "5202002444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MALINDA",
"last_name": "CRAYMER",
"middle_name": "JO",
"prefix": "MRS.",
"credential": "COTA/L",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.