Individual provider Active NPI

Alistair Peter McCrann, DPT, ATC

  • Physical Therapist
  • Roswell, NM
National Provider Identifier
1114112570
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2023-2230 Issued in NM
Practice address
113 E College Blvd
Roswell, NM 88201-5158
Phone
(575) 622-6500
Fax
(575) 622-9777
NPI assigned
Sep 10, 2007
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-2023-2230 NM Primary

Addresses

Primary practice location

113 E College Blvd
Roswell, NM 88201-5158

Mailing address

113 E College Blvd
Roswell, NM 88201-5158
Phone (575) 622-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909003195 NM Practitioner - Physical Therapist in Private Practice 6002943099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Columbia University College of Physicians and Surgeons, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sprint Sports Rehabilitation IncGroup PAC ID 1759277932, 3 clinicians

Practice addresses (Care Compare)

113 E College Blvd
Roswell, NM 88201-5158
Phone (575) 622-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-2023-2230NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sprint Sports Rehabilitation Inc Physical Therapist CurrentSince Jun 9, 2025 Accepting new patients
Desert Palms Physical Therapy- Catalina PC Physical Therapist Past Accepting new patients
Desert Palms Physical Therapy- Catalina PC Physical Therapist Past Accepting new patients
Del Valle Physical Therapy and Rehabilitation Physical Therapist PastSince Jun 13, 2014 Accepting new patients

Locations

113 E College Blvd
Roswell, NM 88201
Phone (505) 622-6500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1114112570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E COLLEGE BLVD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015158",
            "telephone_number": "575-622-6500",
            "fax_number": "575-622-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E COLLEGE BLVD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015158",
            "telephone_number": "575-622-6500",
            "fax_number": "575-622-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRANN",
        "first_name": "ALISTAIR",
        "middle_name": "PETER",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT-2023-2230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.

Verify at the official NPI Registry.