Individual provider Active NPI

Jennifer Gale Crismond, OTL

  • Occupational Therapist
  • Framingham, MA
National Provider Identifier
1700023611
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
914 Issued in MA
Practice address
651 Franklin St
Framingham, MA 01702-2919
Phone
(508) 620-1442
Fax
(508) 875-0806
NPI assigned
Jan 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 914 MA Primary

Addresses

Primary practice location

651 Franklin St
Framingham, MA 01702-2919

Mailing address

651 Franklin St
Framingham, MA 01702-2919
Phone (508) 620-1442

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

State licenses

LicenseStateTypeSpecialty
914MAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1700023611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 FRANKLIN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017022919",
            "telephone_number": "508-620-1442",
            "fax_number": "508-875-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 FRANKLIN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017022919",
            "telephone_number": "508-620-1442",
            "fax_number": "508-875-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISMOND",
        "first_name": "JENNIFER",
        "middle_name": "GALE",
        "credential": "OTL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.