Colby Craig, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA4751 Issued in AR

Practice address

430 Ar 56 Hwy
Calico Rock, AR 72519-8852

Phone

(870) 916-2036

Fax

(870) 277-0896

NPI assigned

Jul 19, 2022

Last updated

Jul 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gross Therapy Services, Inc.

  • Physical Therapist
  • Mountain Home, AR
  • NPI 1033236468

  Physical Therapy Assistant

  NPD

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1104551613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2398",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726542398",
            "telephone_number": "870-701-5089",
            "fax_number": "870-277-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 AR 56 HWY",
            "city": "CALICO ROCK",
            "state": "AR",
            "postal_code": "725198852",
            "telephone_number": "870-916-2036",
            "fax_number": "870-277-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "COLBY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA4751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Medical Center of Izard County
• Community Medical Center of Izard County Home Health and Hospice
• Community Medical Center of Izard County Home Health and Hospice
• Community Medical Center of Izard County Home Health and Hospice
• Gretchin Cooper, APRN
• Lawrence Davis III, DDS
• Deborah Ann Gatliff, NURSE PRACTITIONER
• Kelsey Gocke, PHARM. D.
• Jennette Lee Hiles, LPTA
• Kiersten Hout

• Physical Therapy Assistant in Calico Rock, AR
• Providers in Calico Rock, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.