Alyssa Crockett, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

036993 Issued in NY

Practice address

14 Marcy LN
Plattsburgh, NY 12901-3215

Phone

(518) 593-9659

NPI assigned

Jan 23, 2014

Last updated

Feb 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gerald V Harrell OD PC Professional Corporation Nys

  • Optometrist
  • Plattsburgh, NY
  • NPI 1083782866
  NPD (past)

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1255754487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MARCY LN",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013215",
            "telephone_number": "518-593-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MARCY LN",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013215",
            "telephone_number": "518-593-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria J Courtney, OT
• Kelly Cousino
• Mary L Craumer, TSHH
• Gabriel Crevier-Sorbo, MD
• Audrey Hannah Crocker, RPA
• Kimberly Cromp-Testo
• Krystal G Crooker
• Barbara Crotty, AU.D.
• Jared Croy, CIT
• Sara M Crystal, N.P.

• Physical Therapist in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.