Bridgette Ellen Crumrine, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

874 Issued in WV

Practice address

225 Russell Ave
New Martinsville, WV 26155-1572

Phone

(304) 455-2600

Fax

(304) 455-2580

NPI assigned

Nov 21, 2012

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

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": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1013251578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 4TH ST",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552109",
            "telephone_number": "304-455-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 RUSSELL AVE",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551572",
            "telephone_number": "304-455-2600",
            "fax_number": "304-455-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMRINE",
        "first_name": "BRIDGETTE",
        "middle_name": "ELLEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Crago
• Justin S Crihfield
• Crittenton Services
• Anglia Cross, RN
• Tara Ann Cross
• Geoffrey Ross Cunningham, DDS, MS
• Jay Edward Cunningham, D.D.S.
• Jeremiah David Dailey
• Emma Rose Davis
• Jennifer Davis, C.N.M.

• Physical Therapy Assistant in New Martinsville, WV
• Providers in New Martinsville, WV by specialty
• Physical Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.