Active NPI
Ann Marie Crowder, PTA
- Physical Therapy Assistant
- Arcadia, CA
National Provider Identifier
1285064980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8525
- Practice address
- 50 E Foothill Blvd Ste 100
Arcadia, CA 91006-2314 - Phone
- (626) 445-2400
- Fax
- (626) 445-2419
- NPI assigned
- Nov 15, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 8525 | CA | Primary |
Addresses
Primary practice location
50 E Foothill Blvd Ste 100
Arcadia, CA 91006-2314
Mailing address
2421 Foothill Blvd Apt 19a
La Verne, CA 91750-3038
Phone (909) 753-9197
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8525 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Therapies, Inc. | Past | 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 and National Provider Directory roles.
-
- Pediatric Physical Therapist
- Arcadia, CA
- NPI 1114166055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1285064980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 FOOTHILL BLVD APT 19A",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917503038",
"telephone_number": "909-753-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E FOOTHILL BLVD STE 100",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910062314",
"telephone_number": "626-445-2400",
"fax_number": "626-445-2419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWDER",
"first_name": "ANN MARIE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-15",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "8525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.