Active NPI
Brad James Crouse, DPT
- Physical Therapist
- Orlando, FL
National Provider Identifier
1073085635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34208
- Practice address
- 9145 Narcoossee Rd Ste a-204
Orlando, FL 32827-5768 - Phone
- (407) 273-1714
- NPI assigned
- Dec 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 34208 | FL | Primary |
Addresses
Primary practice location
9145 Narcoossee Rd Ste a-204
Orlando, FL 32827-5768
Mailing address
9145 Narcoossee Rd Ste a-204
Orlando, FL 32827-5768
Phone (407) 273-1714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34208 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Health Services | Physical Therapist | Current | Accepting new patients |
| Benchmark Healthcare Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
150 Tanner Rd
Unit B
Greenville, SC 29607
Phone (864) 297-0220
1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058
Networks
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Physical Therapist
- Easley, SC
- NPI 1457842643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1073085635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9145 NARCOOSSEE RD STE A-204",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328275768",
"telephone_number": "407-273-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9145 NARCOOSSEE RD STE A-204",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328275768",
"telephone_number": "407-273-1714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUSE",
"first_name": "BRAD",
"middle_name": "JAMES",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-20",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "34208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.