OrganizationActive
Amy Crumwell
NPI 1417113127 · Physical Disabilities Residential Treatment Facility · Blacklick, OH
Provider details
- NPI number
- 1417113127
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Amy Crumwell, LPN(614) 595-0464
- License
- PN104936 (OH)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7798 Freesia St
Blacklick, OH 43004-8069
Phone: (614) 595-0464
Street-level locationGet directions
Mailing address
7798 Freesia St
Blacklick, OH 43004-8069
Registry dates
- Enumerated
- 2008-08-01
- Last updated
- 2008-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.