Nancy Crawford
Individual provider Active NPI Physical Therapist · Yarmouth, ME
NPI 1164530721 · NPPES record last updated Jan 15, 2008
Key facts
- NPI
- 1164530721
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 50 Forest Falls Dr
Suite 2
Yarmouth, ME 04096-6937 - Phone
- (207) 846-8725
- Fax
- (207) 846-8728
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050118000568 | ME | Practitioner - Physical Therapist in Private Practice | 6800870148 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverview Physical Therapy Limited Partnership | Physical Therapist | Current |
Accepting new patients |
| Riverview Physical Therapy Limited Partnership | Past | Accepting new patients | |
| Riverview Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
Locations
55 Congress Ave
Ste 6
Bath, ME 04530
Phone (207) 386-0351
94 Auburn St
Ste 103
Portland, ME 04103
Phone (207) 797-7578
23 Bridgton Rd
Ste 2
Westbrook, ME 04092
Phone (207) 797-3477
48 Tandberg Trl
Ste 2
Windham, ME 04062
50 Forest Falls Dr
Yarmouth, ME 04096
Phone (207) 846-5111
50 Forest Falls Dr
Ste 2
Yarmouth, ME 04096
Phone (207) 846-8725
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
50 Forest Falls Dr
Suite 2
Yarmouth, ME 04096-6937
Mailing address
50 Forest Falls Dr
Suite 2
Yarmouth, ME 04096-6937
Phone (207) 846-8725
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT1241 | Other | ME | LICENSE # |
NPI Registry JSON
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200355200000",
"number": "1164530721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 FOREST FALLS DR",
"address_2": "SUITE 2",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040966937",
"telephone_number": "207-846-8725",
"fax_number": "207-846-8728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 FOREST FALLS DR",
"address_2": "SUITE 2",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040966937",
"telephone_number": "207-846-8725",
"fax_number": "207-846-8728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "NANCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2008-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "PT1241",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yarmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2008. 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.