Active NPI
Corinna Crispino-Ly
- Occupational Therapist
- Vacaville, CA
National Provider Identifier
1285051052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5184
- Practice address
- 585 Nut Tree CT
Vacaville, CA 95687-3353 - Phone
- (707) 449-8000
- NPI assigned
- Mar 18, 2014
- Last updated
- Mar 18, 2014
- 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 | 5184 | CA | Primary |
Addresses
Primary practice location
585 Nut Tree CT
Vacaville, CA 95687-3353
Mailing address
837 Hampton St
Vacaville, CA 95687-8232
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": "1395100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1285051052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "837 HAMPTON ST",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956878232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 NUT TREE CT",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956873353",
"telephone_number": "707-449-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISPINO-LY",
"first_name": "CORINNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-18",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "5184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.