Active NPI
Teri McCrory
- Physical Therapy Assistant
- Orange, CA
National Provider Identifier
1093921207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT2259
- Practice address
- 1111 W Town and Country Rd Ste 1
Orange, CA 92868-4635 - Phone
- (714) 997-5518
- Fax
- (714) 744-2650
- NPI assigned
- May 15, 2007
- 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 Therapy Assistant | 225200000X | AT2259 | CA | Primary |
Addresses
Primary practice location
1111 W Town and Country Rd Ste 1
Orange, CA 92868-4635
Mailing address
731 N Clinton St
Orange, CA 92867-7205
Phone (714) 997-5518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT2259 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace L Walker Physical Therapy a Professional Corporation | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Orange, CA
- NPI 1427147974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093921207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 N CLINTON ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928677205",
"telephone_number": "714-997-5518",
"fax_number": "714-744-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W TOWN AND COUNTRY RD STE 1",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684635",
"telephone_number": "714-997-5518",
"fax_number": "714-744-2650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRORY",
"first_name": "TERI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT2259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.