Active NPI
Elizabeth Crommett, DPT
- Physical Medicine & Rehabilitation Physician
- Wakefield, MA
National Provider Identifier
1174904957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 22077
- Practice address
- 384 Lowell St
Wakefield, MA 01880-6323 - Phone
- (781) 246-2266
- Fax
- (781) 246-1098
- NPI assigned
- Jun 17, 2015
- Last updated
- Nov 28, 2015
- Sex
- Female
- Sole proprietor
- No
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 Medicine & Rehabilitation Physician | 208100000X | 22077 | MA | Primary |
Addresses
Primary practice location
384 Lowell St
Wakefield, MA 01880-6323
Mailing address
384 Lowell St
Wakefield, MA 01880-6323
Phone (781) 246-2266
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448668800000",
"number": "1174904957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "384 LOWELL ST",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018806323",
"telephone_number": "781-246-2266",
"fax_number": "781-246-1098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384 LOWELL ST",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018806323",
"telephone_number": "781-246-2266",
"fax_number": "781-246-1098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROMMETT",
"first_name": "ELIZABETH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-17",
"last_updated": "2015-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MA",
"license": "22077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.