Active NPI
Diane Burnett Crisman, OTR/L
- Occupational Therapist
- Fort Payne, AL
National Provider Identifier
1124252150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0403
- Practice address
- 200 Medical Center Dr SW
Fort Payne, AL 35968-3458 - Phone
- (256) 997-6420
- NPI assigned
- May 5, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0403 | AL | Primary |
Addresses
Primary practice location
200 Medical Center Dr SW
Fort Payne, AL 35968-3458
Mailing address
479 Mitchell Dr
Rainsville, AL 35986-6534
Phone (256) 638-7548
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0403 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241481600000",
"number": "1124252150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "479 MITCHELL DR",
"city": "RAINSVILLE",
"state": "AL",
"postal_code": "359866534",
"telephone_number": "256-638-7548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL CENTER DR SW",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359683458",
"telephone_number": "256-997-6420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISMAN",
"first_name": "DIANE",
"middle_name": "BURNETT",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-05",
"last_updated": "2009-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "0403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Payne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.