KELLY ANNE CRUPPER MSOT, OTR/L
NPI 1700393501
Occupational Therapist in La Grange, KY

Active since January 03, 2018
4603 TIMBERWALK CT, LA GRANGE, KY 40031(703) 864-6695(888) 830-3233 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 14, 2020, Jan 9, 2020 (2 updates tracked since 2020).

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

NPI1700393501
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKELLY ANNE CRUPPERCredential: MSOT, OTR/L
Location Address4603 TIMBERWALK CTLa Grange, KY 40031-6746
Mailing Address113 Teal CtShepherdsville, KY 40165-7346 · (502) 710-1812
Fax(888) 830-3233
Sole ProprietorNo
Enumeration DateJanuary 3, 2018
Last NPPES UpdateApril 14, 20202 updates tracked since enumeration
NPPES CertifiedApril 14, 2020
✔ NPI 1700393501 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 KY · 175140
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.
4603 TIMBERWALK CT, La Grange, KY 40031

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.

Physical Therapist
2231 LOWER HUNTERS TRCE
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.

Speech-Language Pathologist
4603 TIMBERWALK CT
LA GRANGE, KY 40031
Speech-Language Pathologist
4603 TIMBERWALK CT
LA GRANGE, KY 40031
Speech-Language Pathologist
4603 TIMBERWALK CT
LA GRANGE, KY 40031
Developmental Therapist
4603 TIMBERWALK CT
LA GRANGE, KY 40031
Developmental Therapist
4603 TIMBERWALK CT
LA GRANGE, KY 40031
Speech-Language Pathologist
4603 TIMBERWALK CT
LA GRANGE, KY 40031
Speech-Language Pathologist
4603 TIMBERWALK CT
LA GRANGE, KY 40031
Occupational Therapist
4603 TIMBERWALK CT
LA GRANGE, KY 40031

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.