KELLY ANNE CRUPPER MSOT, OTR/L
NPI 1700393501
Occupational Therapist in La Grange, KY
About Kelly Anne Crupper Msot, Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ANNE CRUPPER MSOT, OTR/L (NPI 1700393501) is an individual occupational therapist in La Grange, Kentucky, licensed in Kentucky (175140) and active in the NPI registry since January 2018.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Anne Crupper Msot, Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Crupper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Louisville, KY 40216
- Reassigned Medicare billing, Kentucky enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Crupper's NPI number?
The NPI number for Kelly Crupper is 1700393501. It was assigned to this individual provider in the NPPES registry on January 3, 2018.
Where is Kelly Crupper located?
Kelly Crupper practices at 4603 Timberwalk Ct, La Grange, KY 40031. The listed phone number is (703) 864-6695.
What is Kelly Crupper's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Kelly Crupper enrolled in Medicare?
Yes. Kelly Crupper is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Crupper's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Crupper reassigns Medicare benefits to Harbor House Of Louisville Inc (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Crupper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Crupper was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.