Leann Dawn Crockett, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21750 Issued in FL

Practice address

92410 Overseas Highway
Suite 6
Tavernier, FL 33070-2636

Phone

(305) 587-7770

Fax

(305) 852-8300

NPI assigned

Aug 17, 2006

Last updated

Nov 11, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

• Onshore Therapy, PLC

  • Physical Therapy Clinic/Center
  • Tavernier, FL
  • NPI 1659534105
  Medicare reassignment NPD Authorized official
• Hands on Therapy & Rehabilitation Center of the Florida Keys Inc

  • Rehabilitation Clinic/Center
  • Tavernier, FL
  • NPI 1982843405

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1124131750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92410 OVERSEAS HIGHWAY",
            "address_2": "SUITE 6",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702636",
            "telephone_number": "305-587-7770",
            "fax_number": "305-852-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92410 OVERSEAS HIGHWAY",
            "address_2": "SUITE 6",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702636",
            "telephone_number": "305-587-7770",
            "fax_number": "305-852-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "LEANN",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001268400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doris Castaneda, RBT
• Christine Haugen MD PA
• Ronald Madison Christmas, RPH
• Community Health of South Florida, Inc
• Criticare Inc.
• Crystal Health and Rehab Center LLC
• Crystal Health FL Opco LLC (oasis at the keys nursing and rehab)
• Crystal Nursing Home 2021 LLC
• Margarita Curbelo
• Darian Daniel, PHARMD

• Physical Therapist in Tavernier, FL
• Providers in Tavernier, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.