Individual provider Active NPI

Joseph Crawford, DPT

  • Physical Therapist
  • Broomall, PA
National Provider Identifier
1174047328
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026186 Issued in PA
Practice address
580 Reed Rd Ste 3
Broomall, PA 19008-3655
Phone
(610) 356-6211
NPI assigned
Jul 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT026186 PA Primary
Physical Therapist 225100000X 40QA02102200 NJ

Addresses

Primary practice location

580 Reed Rd Ste 3
Broomall, PA 19008-3655

Mailing address

580 Reed Rd Ste 3
Broomall, PA 19008-3655

Other practice location 1

740 Marne Hwy Ste 203
Moorestown, NJ 08057-3127
Phone (856) 914-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210121001119 PA Practitioner - Physical Therapist in Private Practice 3476967142 Reassigns benefits to 1 organization
I20221212000026 NJ Practitioner - Physical Therapist in Private Practice 3476967142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

280 Newton Sparta Rd
Suite 8
Newton, NJ 07860-2775
Phone (973) 579-2957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc Physical Therapist CurrentSince Oct 30, 2023 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Physical Therapist CurrentSince Jan 13, 2021 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Oct 30, 2023 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Jan 13, 2021 Accepting new patients
Ivyrehab Network Inc. Physical Therapist Current Accepting new patients

Locations

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

280 Newton Sparta Rd
Ste 8
Newton, NJ 07860
Phone (973) 579-2957

1007 Mantua Pike
West Deptford, NJ 08096
Phone (856) 845-1253

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1174047328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 REED RD STE 3",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 REED RD STE 3",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083655",
            "telephone_number": "610-356-6211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 Marne Hwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573127",
            "country_code": "US",
            "telephone_number": "856-914-1400",
            "fax_number": "856-914-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026186",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02102200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.