Michelle Candice Crouse, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305205763 Issued in VA

Practice address

325 Charles H Dimmock Pkwy Ste 100
Colonial Heights, VA 23834-2986

Phone

(804) 526-5888

Fax

(804) 526-5401

NPI assigned

Jan 6, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Virginia Luna Care Physical Therapy LLC

  • Physical Therapist
  • Fairfax, VA
  • NPI 1235720848

  DC

  Medicare reassignment
• PT Solutions of Acworth LLC

  • Physical Therapist
  • Augusta, GA
  • NPI 1518435189
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1104062637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 HIGHWAY 81",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300529138",
            "telephone_number": "770-554-0665",
            "fax_number": "770-554-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CHARLES H DIMMOCK PKWY STE 100",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342986",
            "telephone_number": "804-526-5888",
            "fax_number": "804-526-5401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2925 Polo Pkwy",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231131453",
            "country_code": "US",
            "telephone_number": "804-794-7587",
            "fax_number": "804-794-4560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROUSE",
        "first_name": "MICHELLE",
        "middle_name": "CANDICE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009848",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00848311",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Allen Correll, ED.D., LCP
• Thomas Crawford
• Mary Christenson Creech, LPTA
• Jane Crile
• Krystal Maria Cromwell
• Latasha Nicole Cue, CSAC-S, MS
• Cumberbatch Nursing Service and Facilitation
• Ashley Currin, PHD
• Jasmine Cutler, NP
• D&M Residential, LLC

• Physical Therapist in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.