Crush It Athletics and Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CRUSH IT ATHLETICS AND PHYSICAL THERAPY

Practice address

1415 Wilkesboro Hwy
Statesville, NC 28625-3262

Phone

(704) 996-5036

NPI assigned

Mar 4, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Connor Burk, DPTNPI 1629687140

Title

Physical Therapist

Phone

(704) 996-5036

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Connor Burk, PT

  • Orthopedic Physical Therapist
  • Cornelius, NC
  • NPI 1629687140
  Medicare reassignment NPD Authorized official
• Jared Hryniewicki

  • Physical Therapist
  • Statesville, NC
  • NPI 1437038965
  NPD
• Kristin Layne Wyatt, PT

  • Physical Therapist
  • Huntersville, NC
  • NPI 1306564299
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1063279347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 WILKESBORO HWY",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286253262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 WILKESBORO HWY",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286253262",
            "telephone_number": "704-996-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUSH IT ATHLETICS AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-03",
        "status": "A",
        "authorized_official_last_name": "BURK",
        "authorized_official_first_name": "CONNOR",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "704-996-5036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Allen Crouch, DDS
• Timothy Crouch, DMD
• Jennifer Leigh Crow, MA, LPCA, LCASA
• Crummett Associates, PA (Elaine Crummett, LPA, LPC)
• Elaine Sharon Crummett, L.P.A., L.P.C.
• Tao Cui, MD
• Amiya Cunningham, DMD
• Cuong Tan Doan
• Edward Curlee
• Jennifer Curlee, PMHNP-BC

• Physical Therapy Clinic/Center in Statesville, NC
• Providers in Statesville, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.