Active NPI
Julie Crenshaw
- Physical Therapist
- College Park, GA
National Provider Identifier
1326864232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012621
- Practice address
- 2300 Camp Creek Pkwy Ste 225
College Park, GA 30337-3314 - Phone
- (423) 653-0176
- NPI assigned
- Nov 25, 2024
- 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 | PT012621 | GA | Primary |
Addresses
Primary practice location
2300 Camp Creek Pkwy Ste 225
College Park, GA 30337-3314
Mailing address
2 Rivermont Dr SW
Rome, GA 30165-8587
Phone (423) 653-0176
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 |
|---|---|---|---|
| PT012621 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1326864232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 RIVERMONT DR SW",
"city": "ROME",
"state": "GA",
"postal_code": "301658587",
"telephone_number": "423-653-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 CAMP CREEK PKWY STE 225",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303373314",
"telephone_number": "423-653-0176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRENSHAW",
"first_name": "JULIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-25",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.