Active NPI
Darren Criswell, DPT
- Physical Therapist
- Bowman, ND
National Provider Identifier
1104281559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1679
- Practice address
- 14 6TH Ave SW
Bowman, ND 58623-0009 - Phone
- (701) 523-7848
- NPI assigned
- Dec 29, 2015
- Sex
- Male
- 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 Therapist | 225100000X | 1679 | ND | Primary |
Addresses
Primary practice location
14 6TH Ave SW
Bowman, ND 58623-0009
Mailing address
14 6TH Ave SW
Bowman, ND 58623-0009
Phone (701) 523-7848
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1104281559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 6TH AVE SW",
"city": "BOWMAN",
"state": "ND",
"postal_code": "586230009",
"telephone_number": "701-523-7848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 6TH AVE SW",
"city": "BOWMAN",
"state": "ND",
"postal_code": "586230009",
"telephone_number": "701-523-7848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISWELL",
"first_name": "DARREN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-29",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowman, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.