TRACEY LEIGH CREWS


Address: 4422 East State Boulevard, Fort Wayne, IN 46815-6917
Phone: 8853240885

TRACEY LEIGH CREWS (NPI# 1508311705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508311705
Entity Type Individual
Full Name TRACEY LEIGH CREWS
Credential MS, OTR
Practice Address 4422 East State Boulevard
Fort Wayne
IN 46815-6917
Mailing Address 3500 Depauw Boulevard
Suite 3070
Indianapolis
IN 46268-6135
Practice Telephone 8853240885
Practice Fax Number 7654506664
Mailing Telephone 3174494833
Mailing Fax Number 7654506664
Enumeration Date 2016-08-18
Last Update Date 2017-12-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics
31006496A IN Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225XP0200X Occupational Therapist
Specialization: Pediatrics
5201005313 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225XP0200X Occupational Therapist
Specialization: Pediatrics
014885 OH Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NBCOT CERTIFICATION 1015036 01

Office Location

Street Address 4422 EAST STATE BOULEVARD
City FORT WAYNE
State IN
Zip Code 46815-6917

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285981134 Stephanie Marie Ramos Speech-Language Pathologist 4422 East State Boulevard, Fort Wayne, IN 46815-6917 2012-08-10
1023535986 Christopher Logan Sindelar Behavioral Analyst 4422 East State Boulevard, Fort Wayne, IN 46815-6917 2017-08-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306305438 Sullivan Services, Inc. In Home Supportive Care 2789-b Maplecrest Rd, Fort Wayne, IN 46815 2019-03-18
1598250144 Altermease Gleason Massage Therapist 3406 Thames Drive, Fort Wayne, IN 46815 2018-06-26
1881000222 Denise Sparks Specialist 6415 Benham Drive, Fort Wayne, IN 46815 2014-07-07
1962823138 Chad Distelrath Physical Therapy Assistant 1717 Maplecrest Rd, Apt 112, Fort Wayne, IN 46815 2013-12-13
1689943409 Kendall Joan Labrash Physical Therapist 4251 Lahmeyer Rd., Fort Wayne, IN 46815 2011-12-22
1801179718 Jayson Laube Pharmacist 6201 Stellhorn, Fort Wayne, IN 46815 2011-09-27
1720294432 Muscle Therapy Clinic LLC Massage Therapist 6409 Georgetown North Blvd, Fort Wayne, IN 46815 2007-05-16
1427186436 Legoras Conture Fashions Prosthetic/Orthotic Supplier 3316 Inwood Drive, Fort Wayne, IN 46815 2007-03-01
1932252772 Fort Wayne Smiles PC Dentist 2031 Reed Road, Fort Wayne, IN 46815 2007-01-18
1811078538 Timothy Doody Lynch Dentist 4207 Hobson Court, Fort Wayne, IN 46815 2006-10-18
Find all providers in zip 46815

Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
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 board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447783816 Kelly Mccollum Occupational Therapist 7506 Covington Hollow Ln, Fort Wayne, IN 46804-6152 2017-04-04
1477868651 Lisa Ann Gibson Occupational Therapist 1200 Barr St, Fort Wayne, IN 46802-3502 2010-08-12
1003432915 Holly Guenther Occupational Therapist 3439 Hobson Rd, Fort Wayne, IN 46805-1617 2020-06-17
1982265385 Brittany Ormiston Occupational Therapist 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 2019-06-26
1346735743 Caitlin Demuth Occupational Therapist 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 2018-06-27
1306386628 Jessica Wills Occupational Therapist 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 2017-03-06
1205385572 Anne Green Occupational Therapist 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 2016-09-28
1679930549 Chelsea Elder Occupational Therapist 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1934 2016-01-24
1942698220 Alexis Richardson Occupational Therapist 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 2015-01-08
1265833446 Lindsey Schelfo Occupational Therapist 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 2014-09-08
Find all providers in FORT WAYNE

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City FORT WAYNE
Zip Code 46815

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Dataset Information

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.

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