Individual provider Active NPI

Rodney Kit Crawford, PTA, A.T.,C

  • Physical Therapy Assistant
  • Jasper, IN
National Provider Identifier
1215435698
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
06003823A Issued in IN
Practice address
600 W 13TH St Ste 200
Jasper, IN 47546-1883
Phone
(812) 482-7441
Fax
(812) 482-7444
NPI assigned
Jan 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06003823A IN Primary

Addresses

Primary practice location

600 W 13TH St Ste 200
Jasper, IN 47546-1883

Mailing address

1726 N Shiloh Rd
Jasper, IN 47546-7829
Phone (812) 482-9179

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06003823AINMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel C Eby D.O. PC PastSince Jul 1, 2004 Accepting new patients

Organizations & group practices 1

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": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1215435698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 N SHILOH RD",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475467829",
            "telephone_number": "812-482-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 13TH ST STE 200",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461883",
            "telephone_number": "812-482-7441",
            "fax_number": "812-482-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "RODNEY",
        "middle_name": "KIT",
        "name_prefix": "Mr.",
        "credential": "PTA, A.T.,C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06003823A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.