Individual provider Active NPI

William Bernard Crotty, PT

  • Physical Therapist
  • Columbus, NJ
National Provider Identifier
1255354692
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA0073010 Issued in NJ
Practice address
44 Sheffield Dr
Columbus, NJ 08022-9550
Phone
(609) 351-3954
Fax
(609) 372-4519
NPI assigned
Jul 26, 2006
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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 QA0073010 NJ Primary

Addresses

Primary practice location

44 Sheffield Dr
Columbus, NJ 08022-9550

Mailing address

44 Sheffield Dr
Columbus, NJ 08022-9550
Phone (609) 351-3954

Other identifiers 1

IdentifierTypeStateIssuer
40QA00730100OtherNJNEW JERSEY STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901001101 NJ Practitioner - Physical Therapist in Private Practice 5991770893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crotty Rehabilitation LLCGroup PAC ID 0840391678, 2 clinicians

Practice addresses (Care Compare)

44 Sheffield Dr
Columbus, NJ 08022-9550
Phone (609) 351-3954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA0073010NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crotty Rehabilitation LLC Physical Therapist CurrentSince Mar 26, 2007 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1255354692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SHEFFIELD DR",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080229550",
            "telephone_number": "609-351-3954",
            "fax_number": "609-372-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SHEFFIELD DR",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080229550",
            "telephone_number": "609-351-3954",
            "fax_number": "609-372-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROTTY",
        "first_name": "WILLIAM",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA0073010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY STATE LICENSE",
            "identifier": "40QA00730100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.