Active NPI
Christine Crep, PT, CLT
- Physical Therapist
- Vadnais Heights, MN
National Provider Identifier
1033200738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1155 County Road E E Ste 120
Vadnais Heights, MN 55110-5191 - Phone
- (651) 241-1464
- Fax
- (651) 241-1451
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
1155 County Road E E Ste 120
Vadnais Heights, MN 55110-5191
Mailing address
4376 Arbre LN N
Hugo, MN 55038-4450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6306 | Other | MN | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1760446256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1033200738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4376 ARBRE LN N",
"city": "HUGO",
"state": "MN",
"postal_code": "550384450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 COUNTY ROAD E E STE 120",
"city": "VADNAIS HEIGHTS",
"state": "MN",
"postal_code": "551105191",
"telephone_number": "651-241-1464",
"fax_number": "651-241-1451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREP",
"first_name": "CHRISTINE",
"credential": "PT, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "6306",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vadnais Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.