Active NPI
Chandler S Crosby, PT
- Physical Therapist
- Waddington, NY
National Provider Identifier
1053476432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015169
- Practice address
- 10 Main St
Waddington, NY 13694-0249 - Phone
- (315) 388-7703
- Fax
- (315) 388-4707
- NPI assigned
- Dec 26, 2006
- Last updated
- Mar 31, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0151691 | NY | |
| Physical Therapist | 225100000X | 015169 | NY | Primary |
Addresses
Primary practice location
10 Main St
Waddington, NY 13694-0249
Mailing address
PO Box 249
North Coast Therapy LLC
Waddington, NY 13694-0249
Phone (315) 388-7703
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0151691 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Coast Occupational, Physical & Speech Therapy PLLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Waddington, NY
- NPI 1881834182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238457600000",
"number": "1053476432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 249",
"address_2": "NORTH COAST THERAPY LLC",
"city": "WADDINGTON",
"state": "NY",
"postal_code": "136940249",
"telephone_number": "315-388-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MAIN ST",
"city": "WADDINGTON",
"state": "NY",
"postal_code": "136940249",
"telephone_number": "315-388-7703",
"fax_number": "315-388-4707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSBY",
"first_name": "CHANDLER",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2009-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0151691",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "015169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waddington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.