Annmarie Cheryl Crosdale, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

215380 Issued in TX

Practice address

4333 Antilley Rd Apt 1501
Abilene, TX 79606-6064

Phone

(719) 722-2430

NPI assigned

Apr 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1306343066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SPRING FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162815",
            "telephone_number": "719-465-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 ANTILLEY RD APT 1501",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796066064",
            "telephone_number": "719-722-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSDALE",
        "first_name": "ANNMARIE",
        "middle_name": "CHERYL",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "215380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Gwira Creppy, MD
• Crna Texas, Inc.
• Scott Harrison Crocker, M.D.
• Larry Gene Crockett, COTA
• Susan Katherine Crosby, APRN,PMHNP
• Danna Cross, CRNA
• James M Cross, CRNA
• Wilfred Cecil Cross, RPH
• Crossroads Chiropractic Clinic
• Crossroads Counseling Abilene LLC

• Occupational Therapy Assistant in Abilene, TX
• Providers in Abilene, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.