Active NPI
Mary Jane Croston
- Physical Therapist
- Lorain, OH
National Provider Identifier
1295974384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 1441
- Practice address
- 3700 Kolbe Rd
Lorain, OH 44053-1611 - Phone
- (440) 960-3939
- NPI assigned
- Feb 12, 2009
- 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 Therapist | 225100000X | PT 1441 | OH | Primary |
Addresses
Primary practice location
3700 Kolbe Rd
Lorain, OH 44053-1611
Mailing address
32740 Redwood Blvd
Avon Lake, OH 44012-1663
Phone (440) 933-7718
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 |
|---|---|---|---|
| PT 1441 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234396800000",
"number": "1295974384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32740 REDWOOD BLVD",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440121663",
"telephone_number": "440-933-7718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 KOLBE RD",
"city": "LORAIN",
"state": "OH",
"postal_code": "440531611",
"telephone_number": "440-960-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSTON",
"first_name": "MARY JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-12",
"last_updated": "2009-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT 1441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.