| Alexis Crocker, OTD, OTR/L | |
|
128 Garner Rd, Spartanburg, SC 29303-3149 | |
| (864) 591-3484 | |
| Not Available |
| Full Name | Alexis Crocker |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 128 Garner Rd, Spartanburg, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467287672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 17148 (North Carolina) | Secondary |
| 225X00000X | Occupational Therapist | 7337 (South Carolina) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366063000 PECOS PAC ID: 2163339722 Enrollment ID: O20200629001631 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Crocker, OTD, OTR/L 536 Asbury Neely Way, Roebuck, SC 29376-3354 Ph: () - | Alexis Crocker, OTD, OTR/L 128 Garner Rd, Spartanburg, SC 29303-3149 Ph: (864) 591-3484 |
Hailey Neifert, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 303-518-1298 | |
Ms. Kendra Sprogis, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Summit Hills Dr, Spartanburg, SC 29307 Phone: 864-342-9275 Fax: 864-585-3705 | |
Mrs. Kathy Ann Chandler, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 100 Summit Hills Dr, Spartanburg, SC 29307 Phone: 864-342-9275 Fax: 864-585-3705 | |
Mrs. Ana Maria Espana, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 355 Oak Grove Road, Spartanburg, SC 29301 Phone: 864-595-4225 Fax: 864-595-4821 | |
Stacy L Mahaffey, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1705 Skylyn Dr, Spartanburg, SC 29307 Phone: 864-582-6838 | |
Jennifer Welsh, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Po Box 970, Spartanburg, SC 29304 Phone: 864-594-4400 | |
Katherine L Burnett, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Willow Ln, Spartanburg, SC 29307 Phone: 864-641-3125 Fax: 864-514-5739 |