Active NPI
Cassandra Adelia Crichlow, OTR/L
- Pediatric Occupational Therapist
- Randolph, MA
National Provider Identifier
1124241732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 6919
- Practice address
- 28 Shade St
Randolph, MA 02368-1769 - Phone
- (617) 308-8466
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 6919 | MA | Primary |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 6919 | MA | |
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | 6919 | MA | |
| Human Factors Occupational Therapist | 225XH1300X | 6919 | MA |
Addresses
Primary practice location
28 Shade St
Randolph, MA 02368-1769
Mailing address
28 Shade St
Randolph, MA 02368-1769
Phone (617) 308-8466
Other names 1
- Ms. Cassandra Adelia Clark
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410739200000",
"number": "1124241732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 SHADE ST",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023681769",
"telephone_number": "617-308-8466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 SHADE ST",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023681769",
"telephone_number": "617-308-8466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRICHLOW",
"first_name": "CASSANDRA",
"middle_name": "ADELIA",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2014-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MA",
"license": "6919",
"primary": true
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "MA",
"license": "6919",
"primary": false
},
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "MA",
"license": "6919",
"primary": false
},
{
"code": "225XH1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Human Factors",
"state": "MA",
"license": "6919",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "CLARK",
"middle_name": "ADELIA",
"prefix": "MS.",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.