Active NPI
Miriam Crennan, MS OTR/L
- Occupational Therapist
- San Francisco, CA
National Provider Identifier
1023366556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3617
- Practice address
- 400 Parnassus Ave
Box 0228
San Francisco, CA 94143-0228 - Phone
- (415) 353-1740
- NPI assigned
- Aug 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3617 | CA | Primary |
Addresses
Primary practice location
400 Parnassus Ave
Box 0228
San Francisco, CA 94143-0228
Mailing address
419 Fulton Street, Apartment E
San Francisco, CA 94102
Phone (415) 863-3646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3617 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1023366556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 FULTON STREET, APARTMENT E",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94102",
"telephone_number": "415-863-3646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PARNASSUS AVE",
"address_2": "BOX 0228",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941430228",
"telephone_number": "415-353-1740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRENNAN",
"first_name": "MIRIAM",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "3617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.