Organization Active NPI

Cralle Physical Therapy Services, PA

  • Physical Therapist
  • Delray Beach, FL
National Provider Identifier
1215158530
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1043 Issued in FL
Legal business name
CRALLE PHYSICAL THERAPY SERVICES, PA
Practice address
525 NE 3Rd Ave
Suite 106
Delray Beach, FL 33444-3800
Phone
(561) 276-9643
Fax
(561) 276-9198
NPI assigned
May 2, 2007
Last updated
Oct 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Raymond H Cralle, RPTNPI 1215930508
Title
President
Phone
(561) 276-9643

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1043 FL Primary

Addresses

Primary practice location

525 NE 3Rd Ave
Suite 106
Delray Beach, FL 33444-3800

Mailing address

525 NE 3Rd Ave
Suite 106
Delray Beach, FL 33444-3800
Phone (561) 276-9643

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040520001001 FL Part B Supplier - Clinic/Group Practice 7517958333 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

525 NE 3rd Ave
Ste 106
Delray Beach, FL 33444
Phone (561) 276-9643

525 NE 3rd Ave
Ste 107
Delray Beach, FL 33444
Phone (561) 276-9643

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1215158530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 NE 3RD AVE",
            "address_2": "SUITE 106",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443800",
            "telephone_number": "561-276-9643",
            "fax_number": "561-276-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 NE 3RD AVE",
            "address_2": "SUITE 106",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443800",
            "telephone_number": "561-276-9643",
            "fax_number": "561-276-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRALLE PHYSICAL THERAPY SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "CRALLE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-276-9643",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT1043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.

Verify at the official NPI Registry.