Caitlyn Crnkovich, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0004718 Issued in CO

Practice address

3625 Citadel Dr S
Colorado Springs, CO 80909-5320

Phone

(719) 597-0822

Fax

(719) 599-4606

NPI assigned

Jul 12, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Caitlyn Ann Maher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1285086330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3564 POWELL PT",
            "address_2": "#306",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222836",
            "telephone_number": "402-709-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 CITADEL DR S",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095320",
            "telephone_number": "719-597-0822",
            "fax_number": "719-599-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRNKOVICH",
        "first_name": "CAITLYN",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0004718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLYN",
            "last_name": "MAHER",
            "middle_name": "ANN",
            "credential": "OTD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Corrin A Criswell, OT
• Skylar Criswell
• John Critchield, CPFS,QBHA
• Kelly Elizabeth Critchley, RN
• Gretchen Gayle Crites, LPC
• Casey Crocker
• Michael Andrew Crocker, MD
• Samantha Crocker
• Chandler Crockett
• Chris Crockett, MA

• Occupational Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.