Individual provider Active NPI

Allison Jill Crisp, DPT, MTC

  • Physical Therapist
  • Athens, TN
National Provider Identifier
1063915726
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8657 Issued in TN
Practice address
308 Avalon St
Athens, TN 37303-4042
Phone
(423) 506-4961
Fax
(423) 745-7132
NPI assigned
Mar 8, 2018
Last updated
Mar 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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 8657 TN Primary

Addresses

Primary practice location

308 Avalon St
Athens, TN 37303-4042

Mailing address

308 Avalon St
Athens, TN 37303-4042
Phone (423) 506-4961

Other names 1

  • Jill Clark Crisp Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180623000030 TN Practitioner - Physical Therapist in Private Practice 3072868595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Weston Group of Tennessee IncGroup PAC ID 9436377355, 20 clinicians

Practice addresses (Care Compare)

5501 Old Hixson Pike
Hixson, TN 37343-4881
Phone (423) 847-1370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
The Weston Group of Tennessee Inc Physical Therapist CurrentSince Mar 15, 2018 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1063915726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 AVALON ST",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373034042",
            "telephone_number": "423-506-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 AVALON ST",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373034042",
            "telephone_number": "423-506-4961",
            "fax_number": "423-745-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISP",
        "first_name": "ALLISON",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "DPT, MTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "CRISP",
            "middle_name": "CLARK",
            "credential": "DPT, MTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Athens, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.