CRYSTAL TYSON OT
NPI 1629447529
Occupational Therapist in Mount Vernon, IL

Active since September 21, 2015
4121 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864(618) 242-3778(618) 242-2551 Get Directions Write a Review

NPPES record last updated: September 21, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Crystal Tyson Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL TYSON OT (NPI 1629447529) is an individual occupational therapist in Mount Vernon, Illinois, licensed in Illinois (056011193) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1629447529
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameCRYSTAL TYSONCredential: OT
Location Address4121 VETERANS MEMORIAL DRMount Vernon, IL 62864-6262
Mailing Address4121 Veterans Memorial DrMount Vernon, IL 62864-6262 · (618) 242-3778 · Fax (618) 242-2551
Fax(618) 242-2551
Sole ProprietorNo
Enumeration DateSeptember 21, 2015
NPI 1629447529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in IL · 056011193
Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

4121 VETERANS MEMORIAL DR, Mount Vernon, IL 62864

Other Identifiers 1

Other056011193IL · State License

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
257 services11 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Sports Medicine)
4121 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4121 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
Orthopaedic Surgery (Hand Surgery)
4121 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
Orthopaedic Surgery
4121 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
Specialist/Technologist (Athletic Trainer)
4121 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
Physical Therapist
4121 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
Physical Therapist
4121 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
Physical Therapist
4121 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629447529, enumerated as an "individual" on September 21, 2015.

The provider is located at 4121 VETERANS MEMORIAL DR MOUNT VERNON, IL 62864 and the phone number is (618) 242-3778.

Occupational Therapist with taxonomy code 225X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.