Active NPI
Allison Jill Crisp, DPT, MTC
- Physical Therapist
- Athens, TN
National Provider Identifier
1063915726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8657
- 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, 2018
- 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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
| The Weston Group of Tennessee Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- Hixson, TN
- NPI 1467866848
-
- Physical Therapist
- Hendersonville, TN
- NPI 1053698530
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336808146
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.