Donna M Crook, RPTA

Key facts

NPI

1104019538

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapy Assistant 225200000X

License

0126 (SD)

Practice address

1401 Pearl St
Faulkton, SD 57438-2219

Phone

(605) 598-6214

Fax

(605) 598-6773

NPI assigned

Aug 20, 2007

Sex

Female

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 20, 2007.

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1104019538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E 6TH AVE",
            "city": "REDFIELD",
            "state": "SD",
            "postal_code": "574691332",
            "telephone_number": "605-472-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PEARL ST",
            "city": "FAULKTON",
            "state": "SD",
            "postal_code": "574382219",
            "telephone_number": "605-598-6214",
            "fax_number": "605-598-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOK",
        "first_name": "DONNA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SD",
            "license": "0126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Faulkton, SD

• Sylvia M Anderson, MD
• Jennifer Lynn Bauer, PT
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• Chelsea Deiter
• Faulk County
• Faulkton Area Medical Center
• Faulkton Area Medical Center
• Faulkton Area Medical Center

All providers in Faulkton, SD · Physical Therapy Assistant in South Dakota