Active NPI
Drew Crews
- Physical Therapist
- Bolivar, TN
National Provider Identifier
1104471614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1700 W Market St Ste Fandg
Bolivar, TN 38008-1653 - Phone
- (731) 658-2206
- Fax
- (731) 659-2061
- NPI assigned
- Aug 2, 2019
- 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 | Primary |
Addresses
Primary practice location
1700 W Market St Ste Fandg
Bolivar, TN 38008-1653
Mailing address
PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q029723 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2782 N Highland Ave
Suite a
Jackson, TN 38305-1797
Phone (731) 664-3139
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy of Jackson PC. | Current | Accepting new patients | |
| TN Therapy Outsource, LLC | Physical Therapist | Current | Accepting new patients |
| Star Physical Therapy LP | Past | Accepting new patients | |
| Suncoast Retina Consultants, LLC | Past | Accepting new patients |
Locations
2782 N Highland Ave
Ste A
Jackson, TN 38305
Phone (731) 664-1172
1296 Union University Dr
Ste G
Jackson, TN 38305
Phone (865) 406-7675
Organizations & group practices 4
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
- Jackson, TN
- NPI 1891285185
-
- Physical Therapy Clinic/Center
- Jackson, TN
- NPI 1841247418
-
- Rehabilitation Clinic/Center
- Bolivar, TN
- NPI 1417404351
-
- Ophthalmology Physician
- Hudson, FL
- NPI 1730233388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1104471614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681478",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370681478",
"telephone_number": "615-591-6590",
"fax_number": "615-591-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 W MARKET ST STE FANDG",
"city": "BOLIVAR",
"state": "TN",
"postal_code": "380081653",
"telephone_number": "731-658-2206",
"fax_number": "731-659-2061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREWS",
"first_name": "DREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-02",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q029723",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bolivar, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.