Christopher Lyle Crisman, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

697 Issued in MT

Practice address

1500 32ND St S
Great Falls, MT 59405-5300

Phone

(406) 761-4300

Fax

(406) 761-8882

NPI assigned

May 22, 2008

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1104083534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 32ND ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055300",
            "telephone_number": "406-761-4300",
            "fax_number": "406-761-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 32ND ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055300",
            "telephone_number": "406-761-4300",
            "fax_number": "406-761-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "LYLE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MT",
            "license": "697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Cravens
• John Craw, M.D.
• Jill Crawford, LAC
• Kelsey Elizabeth Crawford
• Carol Ann Cress, RN
• Alan Crist, D.D.S.
• Shawn J. Crook, DO
• David W Crossley, PA-C
• Amber Dawn Crossman, PTA
• Crossroads Counseling & Consulting Incorporated

• All providers in Great Falls, MT
• Occupational Therapy Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.