Crisany Lauren Carroll, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT007057 Issued in GA

Practice address

22 Buford Village Way
Buford, GA 30518-8846

Phone

(678) 936-1727

NPI assigned

Jun 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1881186732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 QUAIL CREEK TER",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305197019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BUFORD VILLAGE WAY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188846",
            "telephone_number": "678-936-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "CRISANY",
        "middle_name": "LAUREN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT007057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "OT007057",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caring by Karen Physical Therapy and Fitness, LLC
• Nancy Walden Carlton, OT
• Heather Michelle Carlyle, P.T.
• Corey Thomas Carney, COTA/L
• Susan Renee Carreno
• Fabiola Monique Caseres
• Sarah Elizabeth Casey, MS, NCC
• Roxanna Caspar
• Kerryn Castellon, DO
• Tasha L Casto, FNP

• Pediatric Occupational Therapist in Buford, GA
• Providers in Buford, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.