Active NPI
Annmarie Penny Crose, MPT
- Physical Therapist
- Jacksonville, NC
National Provider Identifier
1336455310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10257
- Practice address
- 201 Williamsburg Pkwy
Jacksonville, NC 28546 - Phone
- (252) 634-2626
- NPI assigned
- Aug 27, 2010
- Last updated
- Mar 12, 2019
- 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 Therapist | 225100000X | 10257 | NC | Primary |
Addresses
Primary practice location
201 Williamsburg Pkwy
Jacksonville, NC 28546
Mailing address
201 Williamsburg Pkwy
Jacksonville, NC 28546-6856
Phone (252) 634-2626
Other practice location 1
4218-M Arendell Street
Morehead City, NC 28557-2871
Phone (252) 808-3100
Other practice location 2
4218-M Arendell Street
Morehead City, NC 28557-2871
Phone (252) 808-3100
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10257 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore Orthopedics and Sports Medicine, P.a. | Past | Accepting new patients | |
| Carolina Pain Center, P.C | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/7220/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Clinic/Center
- Morehead City, NC
- NPI 1457693335
-
- Orthopaedic Surgery Physician
- Morehead City, NC
- NPI 1104156108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1336455310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 WILLIAMSBURG PKWY",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466856",
"telephone_number": "252-634-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 WILLIAMSBURG PKWY",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "28546",
"telephone_number": "252-634-2626"
}
],
"practiceLocations": [
{
"address_1": "4218-M Arendell Street",
"address_purpose": "LOCATION",
"city": "Morehead City",
"state": "NC",
"postal_code": "285572871",
"country_code": "US",
"telephone_number": "252-808-3100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4218-M Arendell Street",
"address_purpose": "LOCATION",
"city": "Morehead City",
"state": "NC",
"postal_code": "285572871",
"country_code": "US",
"telephone_number": "252-808-3100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROSE",
"first_name": "ANNMARIE",
"middle_name": "PENNY",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-27",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "10257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
- Alan Johnson Crist, PH.D.
- Stephanie Cristiano, PHD
- Jennifer Elaine Cristina, LCSW-A
- Cro PC, PLLC (Physicians Immediate Care)
- Cro PC, PLLC (Croatan Primary Care)
- Meredith Kay Cross, MS CCC-SLP
- Natalie Nichole Cross, LCSW
- Crossing Paths, LLC Dba Beltone Carolina Virginia (Beltone Carolina Virginia)
- Crossroads Counceling Services LLC
- Crossroads Therapeutic Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.