Individual provider Active NPI

Crista Nicole Strachan, B.S., M.S, OTR/L

  • Pediatric Occupational Therapist
  • Davie, FL
National Provider Identifier
1417265380
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT15512 Issued in FL
Practice address
10760 Cameron CT Apt 203
Davie, FL 33324-4178
Phone
(917) 676-1591
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT15512 FL Primary
Occupational Therapist 225X00000X 016359 NY

Addresses

Primary practice location

10760 Cameron CT Apt 203
Davie, FL 33324-4178

Mailing address

10760 Cameron CT Apt 203
Davie, FL 33324-4178
Phone (917) 676-1591

Other practice location 1

11801 101st Ave
South Richmond Hill, NY 11419-1229
Phone (718) 805-7117

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
Credentials
Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
OT15512FLMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1417265380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10760 CAMERON CT APT 203",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244178",
            "telephone_number": "917-676-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10760 CAMERON CT APT 203",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244178",
            "telephone_number": "917-676-1591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11801 101st Ave",
            "address_purpose": "LOCATION",
            "city": "South Richmond Hill",
            "state": "NY",
            "postal_code": "114191229",
            "country_code": "US",
            "telephone_number": "718-805-7117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRACHAN",
        "first_name": "CRISTA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "B.S., M.S, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT15512",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.