Individual provider Active NPI

Neal McCrum, MSPT

  • Physical Therapist
  • Portage, MI
National Provider Identifier
1215030556
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501012189 Issued in MI
Practice address
1908 W Milham Ave
Portage, MI 49024-1232
Phone
(269) 459-6212
Fax
(269) 585-6068
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501012189 MI Primary

Addresses

Primary practice location

1908 W Milham Ave
Portage, MI 49024-1232

Mailing address

1908 W Milham Ave
Portage, MI 49024-1232
Phone (269) 459-6212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210601000794 MI Practitioner - Physical Therapist in Private Practice 8022417732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Specialists, LLCGroup PAC ID 9830324482, 16 clinicians

Practice addresses (Care Compare)

1908 W Milham Ave
Portage, MI 49024-1232
Phone (269) 459-6212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Specialists, LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Core Complete Current Accepting new patients

Locations

1908 W Milham Ave
Portage, MI 49024
Phone (269) 459-6212

6051 Constitution Blvd
Ste B
Portage, MI 49024
Phone (269) 270-3501

Organizations & group practices 2

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1215030556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241232",
            "telephone_number": "269-459-6212",
            "fax_number": "269-585-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241232",
            "telephone_number": "269-459-6212",
            "fax_number": "269-585-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRUM",
        "first_name": "NEAL",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.