Crystal D Rollins, OTR/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT8128 Issued in FL

Practice address

6438 County Road 561
Clermont, FL 34714-9171

Phone

(321) 313-4079

NPI assigned

Aug 4, 2010

Sex

Female

Sole proprietor

No

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)

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 and National Provider Directory roles.

• Brighter Day Support Services Inc

  • Gerontology Occupational Therapist
  • Orlando, FL
  • NPI 1326358409
  NPD (past) Authorized official

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1861706541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6438 COUNTY ROAD 561",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347149171",
            "telephone_number": "321-313-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6438 COUNTY ROAD 561",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347149171",
            "telephone_number": "321-313-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "CRYSTAL",
        "middle_name": "D",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "OT8128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Rodriguez
• Nyla Michelle Rodriguez
• Yolanda Alexi Rodriguez
• Zechariah Isaiah Rogers
• Marialejandra Rojas
• Antonio Gabriel Rolon
• Mary E Romain, NP
• Angel Omar Roman Munoz, M.D.
• Daisy Roman, M.ED
• Diannara Roman, RBT

• Specialist in Clermont, FL
• Providers in Clermont, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.