Active NPI
Gregory Evans Crossman Jr., PT
- Physical Therapist
- Lowell, MA
National Provider Identifier
1013980085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15410
- Practice address
- 1703 Middlesex St
Lowell, MA 01851-1130 - Phone
- (978) 710-7204
- Fax
- (978) 710-5764
- NPI assigned
- Feb 9, 2006
- Last updated
- Aug 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15410 | NU | Primary |
Addresses
Primary practice location
1703 Middlesex St
Lowell, MA 01851-1130
Mailing address
1703 Middlesex St
Lowell, MA 01851-1130
Phone (978) 710-7204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Carter St
Tewksbury, MA 01876-1404
73 Princeton St
Suite 8
North Chelmsford, MA 01863-1558
Phone (978) 710-7204
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15410 | MA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absolute Performance Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- North Chelmsford, MA
- NPI 1942747993
-
- Physical Therapist
- Danvers, MA
- NPI 1740253764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1013980085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 MIDDLESEX ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018511130",
"telephone_number": "978-710-7204",
"fax_number": "978-710-5764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 MIDDLESEX ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018511130",
"telephone_number": "978-710-7204",
"fax_number": "978-710-5764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSSMAN",
"first_name": "GREGORY",
"middle_name": "EVANS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": "15410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.