Individual provider Active NPI

Jonathan M Crawford, DPT

  • Physical Therapist
  • Morristown, NJ
National Provider Identifier
1245587708
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA1449300 Issued in NJ
Practice address
173 Washington St
Morristown, NJ 07960-3789
Phone
(201) 306-2532
NPI assigned
Aug 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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 40QA1449300 NJ Primary

Addresses

Primary practice location

173 Washington St
Morristown, NJ 07960-3789

Mailing address

1168 Lake Ave Apt 3
Clark, NJ 07066-2745

Other practice location 1

1168 Lake Ave Apt 3
Clark, NJ 07066-2745
Phone (201) 306-2532

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA1449300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Form Fix LLC CurrentSince Sep 12, 2021 Accepting new patients

Locations

173 Washington St
Morristown, NJ 07960
Phone (201) 306-2532

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": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1245587708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 LAKE AVE APT 3",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 WASHINGTON ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079603789",
            "telephone_number": "201-306-2532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1168 Lake Ave Apt 3",
            "address_purpose": "LOCATION",
            "city": "Clark",
            "state": "NJ",
            "postal_code": "070662745",
            "country_code": "US",
            "telephone_number": "201-306-2532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-14",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA1449300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.