Active NPI
Kathleen Anderson Crowder, LPTA
- Physical Therapy Assistant
- Cordova, TN
National Provider Identifier
1306368931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA4645
- Practice address
- 245 Norseman Dr
Cordova, TN 38018-7234 - Phone
- (662) 213-3107
- NPI assigned
- Jul 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | PTA4645 | MS | Primary |
Addresses
Primary practice location
245 Norseman Dr
Cordova, TN 38018-7234
Mailing address
245 Norseman Dr
Cordova, TN 38018-7234
Phone (662) 213-3107
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 |
|---|---|---|---|
| PTA4645 | MS | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1306368931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 NORSEMAN DR",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380187234",
"telephone_number": "662-213-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 NORSEMAN DR",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380187234",
"telephone_number": "662-213-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWDER",
"first_name": "KATHLEEN",
"middle_name": "ANDERSON",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "MS",
"license": "PTA4645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.