Active NPI
Baily Crolley Crisman, OTD
- Occupational Therapist
- Fairfield, CA
National Provider Identifier
1205629789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1411 Oliver Rd Ste 200
Fairfield, CA 94534-3429 - Phone
- (707) 428-1311
- NPI assigned
- May 27, 2025
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1411 Oliver Rd Ste 200
Fairfield, CA 94534-3429
Mailing address
134 Dial LN
Moncks Corner, SC 29461-5930
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": "1748304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1205629789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 DIAL LN",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294615930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 OLIVER RD STE 200",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945343429",
"telephone_number": "707-428-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISMAN",
"first_name": "BAILY",
"middle_name": "CROLLEY",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-27",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
- Crestwood Behavioral Health, Inc. (Neighborhood of Dreams Fairfield)
- Crestwood Behavioral Health, Inc. (Solano House Clinic)
- Crestwood Behavioral Health, Inc. (Solano House)
- Crestwood Behavioral Health,Inc (Crestwood Crisis Stabilization Services)
- Jessica Lyn Crete, DOULA
- Marissa Crisosto
- Eric J. Crisostomo, MD
- Dempsey Jordan Crispieri, SUDRC
- Cynthia M Crist
- Angela Nicole Vanessa Crocker
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.