Active NPI
Jennifer Tompkins Crutchfield, PHYSICAL THERAPIST
- Physical Therapist
- Lincoln, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH5007
- Practice address
- 141 Magnolia St S
Lincoln, AL 35096-6196 - Phone
- (205) 873-1657
- NPI assigned
- Jul 2, 2007
- Last updated
- Jan 6, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PTH5007 | AL | |
| Physical Therapist | 225100000X | PTH5007 | AL | Primary |
Addresses
Primary practice location
141 Magnolia St S
Lincoln, AL 35096-6196
Mailing address
246 Woodridge TRL
Oxford, AL 36203-3506
Phone (205) 873-1657
Other practice location 1
1475 1st Ave SW
Jacksonville, AL 36265-3337
Phone (256) 435-9386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
141 Magnolia St S
Lincoln, AL 35096-6196
Phone (205) 763-3245
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH5007 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings of Alabama, LLC | Physical Therapist | Current | Accepting new patients |
| Rejenerate Health LLC | Physical Therapist | Current | Accepting new patients |
Locations
1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701
141 Magnolia St S
Lincoln, AL 35096
Phone (205) 763-2400
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Lincoln, AL
- NPI 1356127591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704499200000",
"number": "1104023225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 WOODRIDGE TRL",
"city": "OXFORD",
"state": "AL",
"postal_code": "362033506",
"telephone_number": "205-873-1657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 MAGNOLIA ST S",
"city": "LINCOLN",
"state": "AL",
"postal_code": "350966196",
"telephone_number": "205-873-1657"
}
],
"practiceLocations": [
{
"address_1": "1475 1st Ave SW",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "AL",
"postal_code": "362653337",
"country_code": "US",
"telephone_number": "256-435-9386",
"fax_number": "256-435-2053",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUTCHFIELD",
"first_name": "JENNIFER",
"middle_name": "TOMPKINS",
"name_prefix": "Mrs.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2024-01-06",
"certification_date": "2024-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AL",
"license": "PTH5007",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH5007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2024; 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.