Crystal Ponds, COTA is a
Occupational Therapist based in Wilson, Kansas. Crystal Ponds is licensed to practice in Kansas (license number T-03094) and her current practice location is
611 31st St, Wilson, Kansas. She can be reached at her office (for appointments etc.) via phone at
(785) 658-2505.
NPI number for Crystal Ponds is 1558626465 and her current mailing address is 1226 E Ellsworth Ave, Salina, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558626465.
Healthcare Provider's Profile
| Full Name | Crystal Ponds |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 611 31st St, Wilson, Kansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558626465
- Provider Enumeration Date: 07/06/2012
- Last Update Date: 07/06/2012
Medical Identifiers
Medical identifiers for Crystal Ponds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558626465 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | T-03094 (Kansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Ponds is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Crystal Ponds, COTA 1226 E Ellsworth Ave, Salina, KS 67401-8309 Ph: (785) 404-6622 | Crystal Ponds, COTA 611 31st St, Wilson, KS 67490-8740 Ph: (785) 658-2505 |
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