Taylor Ann Skelton Crouse, PT
Individual provider Active NPI Physical Therapist · Milan, TN
NPI 1124597745 · NPPES record last updated Jul 6, 2022
Key facts
- NPI
- 1124597745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11481 (TN)
- Practice address
- 2060 Rhino Crossing
Milan, TN 38358 - Phone
- (731) 613-2214
- Fax
- (731) 612-2215
- NPI assigned
- Nov 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190507001557 | TN | Practitioner - Physical Therapist in Private Practice | 2860734126 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11481 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broad River Rehabilitation | Physical Therapist | Current |
Accepting new patients |
| Kerry D. Friesen, M.D. PC | Past | Accepting new patients |
Locations
1 Pond St
Arden, NC 28704
Phone 82877452220027
119 Bryan Ave
Manchester, TN 37355
Phone (270) 993-4789
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11481 | TN | Yes |
Addresses
Primary practice location
2060 Rhino Crossing
Milan, TN 38358
Mailing address
114 Crestview Dr
Greenfield, TN 38230-1265
Phone (931) 722-0998
Other names
- Taylor Ann Skelton
Other providers in Milan, TN
- Jennifer Marie Cooper
- Peyton Brice Cooper
- Cornerstone Health Care of Douglas, Inc.
- Cornerstone Health Care of Milan, Inc.
- Joel S Craig
- Shera Cody Culp
- Katherine Hames Cummings
- Bethany Anne Davenport
- Jean Davis
- Jesse A Dean III
All providers in Milan, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.