Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael D. Crisp, OTR/L

Individual provider Occupational Therapist · NPI 1396905618

Michael D. Crisp, OTR/L is an Occupational Therapist in Private Practice in Boulder, Colorado. Qualified in 2003, 23 years ago. Practices as a sole proprietor. Licensed in Colorado and Washington.

Years since qualifying
23
Licensed in
CO, WA
In the registry since
2008
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

801 Gillaspie Dr
Boulder, CO 80305-6548
Phone: (904) 618-3778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT.0006082 (CO)
Occupational Therapist Taxonomy 225X00000X · Licence OT00003965 (WA)

Record details

NPI number1396905618
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJune 10, 2008
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated

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