Individual provider Active NPI

Toni Dawn Crawford, PTA

  • Physical Therapy Assistant
  • Coldwater, MI
National Provider Identifier
1306309851
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502000466 Issued in MI
Practice address
90 N Michigan Ave
Coldwater, MI 49036-1527
Phone
(517) 279-9808
NPI assigned
Apr 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502000466 MI Primary

Addresses

Primary practice location

90 N Michigan Ave
Coldwater, MI 49036-1527

Mailing address

90 N Michigan Ave
Coldwater, MI 49036-1527
Phone (517) 279-9809

Other identifiers 1

IdentifierTypeStateIssuer
5502000466OtherMIPTA LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tdcrawford7608@gmail.com

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

LicenseStateTypeSpecialty
5502000466MIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1306309851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 N MICHIGAN AVE",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361527",
            "telephone_number": "517-279-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 N MICHIGAN AVE",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361527",
            "telephone_number": "517-279-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "TONI",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502000466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE NUMBER",
            "identifier": "5502000466",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tdcrawford7608@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "90 N Michigan Ave",
            "city": "Coldwater",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490361527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.