Active NPI
Jennifer M Crouse
- Pediatric Physical Therapist
- Saratoga Springs, NY
National Provider Identifier
1184033367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 037909
- Practice address
- 549 Rowland Street Ext
Saratoga Springs, NY 12866-6156 - Phone
- (518) 332-8487
- NPI assigned
- Aug 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 037909 | NY | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 037909 | NY |
Addresses
Primary practice location
549 Rowland Street Ext
Saratoga Springs, NY 12866-6156
Mailing address
549 Rowland Street Ext
Saratoga Springs, NY 12866-6156
Phone (518) 332-8487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190802001485 | NY | Practitioner - Physical Therapist in Private Practice | 3274860978 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037909 | NY | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Romtherapy New Jersey Medical PA | Current | Accepting new patients | |
| Romtherapy Connecticut Medical PC | Current | Accepting new patients | |
| Romtherapy Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1184033367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "549 ROWLAND STREET EXT",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128666156",
"telephone_number": "518-332-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "549 ROWLAND STREET EXT",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128666156",
"telephone_number": "518-332-8487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUSE",
"first_name": "JENNIFER",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-12",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "037909",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "037909",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.