Crockett Ranch Therapy Services

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CROCKETT RANCH THERAPY SERVICES

Practice address

11705 N US Highway 89
Flagstaff, AZ 86004-5327

Phone

(928) 853-9843

NPI assigned

Jun 4, 2014

Last updated

Jun 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cathy Russell, RN

Title

Sole Proprietor

Phone

(928) 853-9843

Specialties & licenses 3

Addresses

Practitioners 1

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.

• Cindy Sue Thomann, PT

  • Physical Therapist
  • Flagstaff, AZ
  • NPI 1356750418
  NPD (past)

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1255744454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11705 N US HIGHWAY 89",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860045327",
            "telephone_number": "928-853-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11705 N US HIGHWAY 89",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860045327",
            "telephone_number": "928-853-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROCKETT RANCH THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "928-853-9843",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Travis Crespo Jr., HIS
• Lorraine Damiani Crim, RDN
• Brian Cripe, M.D.
• Heather Daryl Crittenden, MD
• Crittstrong Corporation
• Crockett Ranch Therapy Solutions
• Bradford Croft, D.O.
• Todd Steven Crone, PT
• Keith A. Cross, PH.D., LMFT
• Christine Crowder, MD

• Physical Therapy Clinic/Center in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.