Brandon Crissman, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA11768 Issued in FL

Practice address

234 Willard St
Cocoa, FL 32922-7984

Phone

(321) 795-6007

Fax

(877) 787-5595

NPI assigned

Jul 15, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PTS Staffing LLC

  • Physical Therapist
  • Merritt Island, FL
  • NPI 1205037793
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1093156424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8584 EDEN ISLES LN",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329526800",
            "telephone_number": "321-795-6007",
            "fax_number": "877-787-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 WILLARD ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227984",
            "telephone_number": "321-795-6007",
            "fax_number": "877-787-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISSMAN",
        "first_name": "BRANDON",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA11768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marguerite C Cox
• Kevin Crawford, MSW
• Tracy Ann Crawford, LCSW
• Creative Learning Inc.
• Anavid Crespo
• Alyssa Crist, RBT
• Michael Crooks
• Crosswinds Youth Services
• Crosswinds Youth Services, Inc.
• Carla Cummings

• Occupational Therapy Assistant in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.