Stacy Jill Crescitelli, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT 3233 Issued in FL

Practice address

10255 NW 60TH PL
Parkland, FL 33076-2523

Phone

(954) 346-1476

Fax

(954) 575-0291

NPI assigned

Feb 26, 2010

Last updated

Aug 3, 2010By the provider in NPPES

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

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.

• John B Crescitelli D.O. P.a.

  • Primary Care Clinic/Center
  • Pompano Beach, FL
  • NPI 1134666423
  NPD (past)

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1285956607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 NW 60TH PL",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330762523",
            "telephone_number": "954-346-1476",
            "fax_number": "954-575-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 NW 60TH PL",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330762523",
            "telephone_number": "954-346-1476",
            "fax_number": "954-575-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESCITELLI",
        "first_name": "STACY",
        "middle_name": "JILL",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 3233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Conklin
• Connecting the Puzzle, LLC
• Mary Lynn Cooper, N.P.
• Maria Belen Cordero
• Nichole Creary
• Margaret Reeves Curtis, RDN,LDN
• Aliaksandr Daineka
• Nicole De la Riva
• Debbie Lipton, P.a.
• Debbie Lipton, P.a.

• Pediatric Occupational Therapist in Parkland, FL
• Providers in Parkland, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.