Active NPI
Johnathan Buhler Crabb, P.T.
- Physical Therapist
- Stroud, OK
National Provider Identifier
1124239959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2342
- Practice address
- 320 N 4TH Ave
Stroud, OK 74079-3641 - Phone
- (918) 968-2655
- Fax
- (918) 968-2659
- NPI assigned
- May 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2342 | OK | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2342 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fidelity Health Care Consultants, P.C. | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Stroud, OK
- NPI 1720019953
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124239959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1282",
"city": "HARRAH",
"state": "OK",
"postal_code": "730451282",
"telephone_number": "405-406-6527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N 4TH AVE",
"city": "STROUD",
"state": "OK",
"postal_code": "740793641",
"telephone_number": "918-968-2655",
"fax_number": "918-968-2659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABB",
"first_name": "JOHNATHAN",
"middle_name": "BUHLER",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "2342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stroud, OK
- Terri Mae Caton, P.T.
- Diana J Colbaugh Gaylord, BA
- Contemporary Enterprises, LTD. (Stroud Health Care Center South)
- Cornerstone Healthcare Agency LLC
- Danielle B Cory, APRN
- Creoks Mental Health Services, Inc.
- Jessica Susan Culpepper, RN
- Dental Designs of Stroud
- Dental Designs of Stroud PLLC
- Dental Designs of Stroud, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.