Active NPI
David M Crowe, P.T.
- Physical Therapist
- Cleveland, MS
National Provider Identifier
1073607685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3022
- Practice address
- 810 E Sunflower Rd
Suite 150
Cleveland, MS 38732 - Phone
- (662) 843-4990
- Fax
- (662) 843-4954
- NPI assigned
- Oct 3, 2006
- Last updated
- Oct 22, 2010
- Sex
- Male
- 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 | PT3022 | MS | Primary |
Addresses
Primary practice location
810 E Sunflower Rd
Suite 150
Cleveland, MS 38732
Mailing address
810 E Sunflower Rd
Suite 150
Cleveland, MS 38732
Phone (662) 843-4990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05958206 | Medicaid | MS | |
| 58759594774 | Other | MS | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
810 E Sunflower Rd
Suite 150
Cleveland, MS 38732-2800
Phone (662) 843-4990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3022 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
810 E Sunflower Rd
Ste 150
Cleveland, MS 38732
Phone (662) 843-4990
Organizations & group practices 1
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 Therapy Clinic/Center
- Cleveland, MS
- NPI 1457446445
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1073607685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 E SUNFLOWER RD",
"address_2": "SUITE 150",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "38732",
"telephone_number": "662-843-4990",
"fax_number": "662-843-4954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 E SUNFLOWER RD",
"address_2": "SUITE 150",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "38732",
"telephone_number": "662-843-4990",
"fax_number": "662-843-4954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWE",
"first_name": "DAVID",
"middle_name": "M",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT3022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05958206",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "58759594774",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, MS
- Angela M Corbin, PMHNP
- Lashyra Celeste Cotton, PA-C
- Bonita Clair Cross, C.F.N.P.
- Crow Therapy, LLC
- Kristen Harmon Crow, DPT
- Emma Hardy Crowe, AGNP-C
- Richard Michael Cukelj, DPM
- D & F Medical Consulting, LLC
- Eugenia Daniels, RDH-BSDH, MPH
- Davis Unlimited Healthcare Services, PLLC (A Brand New Me Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.