Johnathan Buhler Crabb, P.T. – Physical Therapist

Key facts

NPI: 1124239959
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 2342 (OK)
Practice address: 320 N 4TH Ave
Stroud, OK 74079-3641
Phone: (918) 968-2655
Fax: (918) 968-2659
NPI assigned: May 24, 2007
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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.

Fidelity Health Care Consultants, P.C. Rehabilitation Clinic/Center · Stroud, OK · NPI 1720019953

NPD (past) PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
HHS exclusion list flag: The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

License	State	Type	Specialty
2342	OK	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Fidelity Health Care Consultants, P.C.	Physical Therapist	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	2342	OK	Yes

Addresses

Primary practice location

320 N 4TH Ave
Stroud, OK 74079-3641

Mailing address

PO Box 1282
Harrah, OK 73045-1282
Phone (405) 406-6527

Other providers in Stroud, OK

All providers in Stroud, OK · Physical Therapist in Oklahoma

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.