Active NPI
Kaitlin Crowe, COTA/L
- Occupational Therapy Assistant
- Daphne, AL
National Provider Identifier
1992371041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 4670
- Practice address
- 27821 State Highway 181 Unit 1702
Daphne, AL 36526-8669 - Phone
- (318) 355-0454
- NPI assigned
- May 31, 2021
- 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 Therapy Assistant | 224Z00000X | 4670 | MA | Primary |
Addresses
Primary practice location
27821 State Highway 181 Unit 1702
Daphne, AL 36526-8669
Mailing address
27821 State Highway 181 Unit 1702
Daphne, AL 36526-8669
Phone (318) 355-0454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000000 | Other | MA | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | url |
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 |
|---|---|---|---|
| 4670 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622419200000",
"number": "1992371041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27821 STATE HIGHWAY 181 UNIT 1702",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365268669",
"telephone_number": "318-355-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27821 STATE HIGHWAY 181 UNIT 1702",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365268669",
"telephone_number": "318-355-0454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWE",
"first_name": "KAITLIN",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-31",
"last_updated": "2021-05-31",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MA",
"license": "4670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "0000000000",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "url",
"affiliation": "N",
"address_1": "27821 State Highway 181 Unit 1702",
"city": "Daphne",
"state": "AL",
"country_code": "US",
"postal_code": "365268669",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.