Active NPI
Keith Morris Crosswhite, PHYSICAL THERAPIST
- Physical Therapist
- Columbia, SC
National Provider Identifier
1043322084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 291
- Practice address
- 1409 Devine St
Columbia, SC 29208-0001 - Phone
- (803) 777-6894
- Fax
- (803) 777-0126
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- 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 | 291 | SC | Primary |
Addresses
Primary practice location
1409 Devine St
Columbia, SC 29208-0001
Mailing address
115 Larkspur Rd
Columbia, SC 29212-2047
Phone (803) 732-2110
Other names 1
- Keith Morris
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291 | SC | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043322084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 LARKSPUR RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292122047",
"telephone_number": "803-732-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 DEVINE ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292080001",
"telephone_number": "803-777-6894",
"fax_number": "803-777-0126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSSWHITE",
"first_name": "KEITH",
"middle_name": "MORRIS",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KEITH",
"last_name": "MORRIS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, SC
- Crossroads Treatment Center of Columbia
- Crossroads Treatment Center of Columbia, PC
- Edward Granderson Crosswell, MD
- Hal Holland Crosswell III, MD
- William Fort Crosswell, MD
- Rodney Webb Crouch Sr., LMT
- Emily Anne Crounse, PHARMD
- Katherine Crow, NURSE PRACTITIONER
- Sandra Crow, RN BCCNS
- Houston Crowder IV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.