Individual provider Active NPI

Angela Joy Crawford, PT

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1063517217
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 21913 Issued in FL
Practice address
12569 Tropic Dr E
Jacksonville, FL 32225-6234
Phone
(904) 718-9335
Fax
(904) 221-2726
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 21913 FL Primary

Addresses

Primary practice location

12569 Tropic Dr E
Jacksonville, FL 32225-6234

Mailing address

12569 Tropic Dr E
Jacksonville, FL 32225-6234
Phone (904) 718-9335

Other names 1

  • Angie Joy Grohs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022001154 HI Practitioner - Physical Therapist in Private Practice 1850494055 Reassigns benefits to 1 organization

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
Makai Mobile Rehab LLCGroup PAC ID 5193862175, 6 clinicians

Practice addresses (Care Compare)

7114 Niumalu Loop
Honolulu, HI 96825-1635
Phone (808) 783-9320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 21913FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Makai Mobile Rehab, LLC Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients
Makai Mobile Rehab, LLC CurrentSince Jun 8, 2025 Accepting new patients
Advanced Neuro Rehab LLC Past Accepting new patients
All Around Physical Therapy Physical Therapist PastSince Oct 17, 2006 Accepting new patients

Locations

820 Mililani St
Ste 702A
Honolulu, HI 96813
Phone (808) 523-6393

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063517217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12569 TROPIC DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256234",
            "telephone_number": "904-718-9335",
            "fax_number": "904-221-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12569 TROPIC DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256234",
            "telephone_number": "904-718-9335",
            "fax_number": "904-221-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "ANGELA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 21913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "GROHS",
            "middle_name": "JOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

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.
  • 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.

Verify at the official NPI Registry.