Active NPI
Charles G Crawford, LMP
- Massage Therapist
- Monroe, WA
National Provider Identifier
1265618078
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Nov 20, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00024388
- Practice address
- 211 West Hall Street
Monroe, WA 98272 - Phone
- (360) 794-6620
- Fax
- (360) 794-9863
- NPI assigned
- Jan 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00024388 | Primary |
Addresses
Primary practice location
211 West Hall Street
Monroe, WA 98272
Mailing address
211 West Hall Street
Monroe, WA 98272
Phone (360) 794-6620
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200009600000",
"number": "1265618078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 WEST HALL STREET",
"city": "MONROE",
"state": "WA",
"postal_code": "98272",
"telephone_number": "360-794-6620",
"fax_number": "360-794-9863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 WEST HALL STREET",
"city": "MONROE",
"state": "WA",
"postal_code": "98272",
"telephone_number": "360-794-6620",
"fax_number": "360-794-9863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "CHARLES",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-11",
"last_updated": "2008-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": "MA00024388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.