Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Crystal L Douglas, MOTR/L

Individual provider Occupational Therapist · NPI 1508346073

MS. Crystal L Douglas, MOTR/L is an Occupational Therapist in Private Practice in Ypsilanti, Michigan. Qualified in 2010, 16 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2986 Roundtree Blvd
Ypsilanti, MI 48197-4811
Phone: (810) 624-2630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201008124 (MI)
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1508346073
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOTR/L
Sole proprietorYes
NPI enumeratedAugust 15, 2018
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Ypsilanti