Gregory J. Crecelius, PTA
Individual provider Active NPI Physical Therapy Assistant · Blanchester, OH
NPI 1073744801 · NPPES record last updated Jul 28, 2009
Key facts
- NPI
- 1073744801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA. 02748 (OH)
- Practice address
- 820 E Center St
Blanchester, OH 45107-1310 - Phone
- (937) 783-3874
- Fax
- (937) 783-4951
- NPI assigned
- Jul 28, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA. 02748 | OH | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA. 02748 | OH | Yes |
Addresses
Primary practice location
820 E Center St
Blanchester, OH 45107-1310
Mailing address
820 E Center St
Blanchester, OH 45107-1310
Phone (937) 783-3874
Other providers in Blanchester, OH
- Catherine Laruffa MD Inc
- Daniel Lee Charlebois
- Glory Clark
- Laura Clark
- Jeremy Conger
- Samara Ruth Crisp
- Lisa Cusick
- Lisa A Dance
- Deaconess Long Term Care of Ohio, Inc.
- Ashley Nicole Dingman
All providers in Blanchester, OH · Physical Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.