Provider Demographics
NPI:1447138029
Name:CRAGE, RILEY (OTR/L)
Entity type:Individual
Prefix:MS
First Name:RILEY
Middle Name:
Last Name:CRAGE
Suffix:
Gender:X
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 SCHIMWOOD CT
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-1346
Mailing Address - Country:US
Mailing Address - Phone:716-867-1004
Mailing Address - Fax:
Practice Address - Street 1:480 WILLOW RIDGE DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-3057
Practice Address - Country:US
Practice Address - Phone:716-250-1575
Practice Address - Fax:716-250-1585
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030300-01225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics