Patrick Timothy Crisler, OTA 6857

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA6857 Issued in FL

Practice address

3589 E Gulf to Lake Hwy
Inverness, FL 34453-3208

Phone

(352) 860-2222

Fax

(352) 860-2223

NPI assigned

May 29, 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

Practice roles

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

• Active Life Rehab Inc.

  • Physical Therapy Clinic/Center
  • Inverness, FL
  • NPI 1053492371
  NPD (past) Authorized official

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1144488867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3589 E GULF TO LAKE HWY",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533208",
            "telephone_number": "352-860-2222",
            "fax_number": "352-860-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3589 E GULF TO LAKE HWY",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533208",
            "telephone_number": "352-860-2222",
            "fax_number": "352-860-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISLER",
        "first_name": "PATRICK",
        "middle_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "OTA 6857",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA6857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Covino, PHARMD
• Craig W. Englund, MD, PA (Citrus Hematology & Oncology Center)
• Patricia Jennie Crandall, LCSW
• Sarah Caitlyn Crawford, MD
• Creative Pathways Therapy, LLC
• Jennafer Rae Critchfield
• Ryan William Cromwell, MD
• Crumbley Family Care Services LLC
• Crystal River Anesthesia Associates, LLC
• Leo Joseph Curtin, DMD

• Occupational Therapy Assistant in Inverness, FL
• Providers in Inverness, 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 May 29, 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.