KATIE DANIELLE CRUM (NPI# 1790252013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790252013 |
| Entity Type | Individual |
| Full Name | KATIE DANIELLE CRUM |
| Credential | COTA |
| Practice Address |
1515 Lake Havasu Ave N Lake Havasu City AZ 86404-1177 |
| Practice Telephone | 9288545439 |
| Mailing Telephone | 9288545439 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224ZF0002X |
Occupational Therapy Assistant Specialization: Feeding, Eating & Swallowing |
OTA046672 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1515 LAKE HAVASU AVE N |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86404-1177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518361195 | Steven Elzinga | Occupational Therapist | 1515 Lake Havasu Ave N, Suite #100, Lake Havasu City, AZ 86404-1177 | 2014-10-10 |
| 1457878340 | Elizabeth A Smith | Occupational Therapy Assistant | 1515 Lake Havasu Ave N, Lake Havasu City, AZ 86404-1177 | 2017-08-23 |
| 1760926786 | Taylor Campbell | Specialist/Technologist | 1515 Lake Havasu Ave N, Lake Havasu City, AZ 86404-1177 | 2016-12-09 |
| 1215487376 | Milemarkers Therapy | Speech-Language Pathologist | 1515 Lake Havasu Ave N, Lake Havasu City, AZ 86404-1177 | 2016-10-12 |
| 1487004867 | Breanna Snyder | Specialist | 1515 Lake Havasu Ave N, Lake Havasu City, AZ 86404-1177 | 2016-06-16 |
| 1336594951 | Milemarkers Therapy | Exclusive Provider Organization | 1515 Lake Havasu Ave N, Lake Havasu City, AZ 86404-1177 | 2016-05-02 |
| 1275913998 | Erin Rocco | Specialist/Technologist | 1515 Lake Havasu Ave N, #100, Lake Havasu City, AZ 86404-1177 | 2015-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770091241 | Scott Schultz | Physician Assistant | 1055 N 500 W Ste 121, Building C, Provo, UT 86404 | 2018-01-17 |
| 1093181968 | Chelsea Bailey | Occupational Therapist | 1515 N. Lake Havasu Avenue, Suite #100, Lake Havasu City, AZ 86404 | 2015-08-14 |
| 1952681520 | Jason John George | Physical Therapist | 1515 N. Lake Havasu Ave, #100, Lake Havasu City, AZ 86404 | 2011-08-26 |
| 1396079323 | Desert Hills Fire District | Personal Emergency Response Attendant | 3983 London Bridge Rd, Lake Havasu City, AZ 86404 | 2009-09-23 |
| 1548446990 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 5651 Hwy 95 North, Lake Havasu, AZ 86404 | 2008-01-16 |
| 1386701431 | Colleen Lynn Mcshea | Speech-Language Pathologist | 1515 N. Lake Havasu Ave., Suite 100, Lake Havasu City, AZ 86404 | 2007-01-01 |
| 1053978593 | Andrew David Skorheim | Pharmacist | Walmart Pharmacy, 5695 Highway 95 N, Lake Havasu City, AZ 86404 | 2019-05-21 |
| 1629507272 | Stephanie Rose Centera | Specialist/Technologist | 1515 N. Lake Havasu Ave., Ste #100, Lake Havasu City, AZ 86404 | 2017-06-07 |
| 1104267491 | Nicole B. Buth | Speech-Language Pathologist | 1515 N. Lake Havasu Ave, Ste #100, Lake Havasu City, AZ 86404 | 2013-07-15 |
| 1275853871 | Karen Ann Olsavsky | Specialist/Technologist | 1515 Lake Havasu Ave N Ste 100, Lake Havasu City, AZ 86404-1177 | 2010-06-04 |
| Find all providers in zip 86404 | ||||
| Taxonomy Code | 224ZF0002X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| Specialization | Feeding, Eating & Swallowing |
| Occupational therapy assistants provide environmental modifications under the supervision of an occupational therapist. OTAs develop and implement an individualized occupational therapy environmental modification plan that reflects the relevant contexts of the client and relevant others and maximizes current and future occupational performance, safety, and participation of the client. Clients receive environmental modification recommendations and interventions that enable them to meet occupational performance and participation goals and that have adequate flexibility to accommodate for their future needs. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary specialty certification for a Feeding, Eating & Swallowing Occupational Therapy Assistant if the applicant meets the following requirements:
|
| City | LAKE HAVASU CITY |
| Zip Code | 86404 |
Please comment or provide details below to improve the information on KATIE DANIELLE CRUM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.