Organization Active NPI

Kevin Crutchfield LLC

  • Physical Therapy Clinic/Center
  • Midland, TX
National Provider Identifier
1235365842
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1134419 Issued in TX
Legal business name
KEVIN CRUTCHFIELD LLC
Doing business as
Encore Physical Therapy
Practice address
2215 N Midland Dr
4A
Midland, TX 79707-5500
Phone
(432) 262-1974
NPI assigned
Jun 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Kevin Crutchfield, PT
Title
Manager
Phone
(432) 262-1974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1134419 TX Primary

Addresses

Primary practice location

2215 N Midland Dr
4A
Midland, TX 79707-5500

Mailing address

2215 N Midland Dr
Ste 4a
Midland, TX 79707-5500
Phone (432) 262-1974

Other names 1

  • Encore Physical Therapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1235365842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 N MIDLAND DR",
            "address_2": "STE 4A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075500",
            "telephone_number": "432-262-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 N MIDLAND DR",
            "address_2": "4A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075500",
            "telephone_number": "432-262-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN CRUTCHFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "CRUTCHFIELD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "432-262-1974",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1134419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encore Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.