Ian Nathaniel Crider, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10471 Issued in TN

Practice address

1529 Hunt Club Blvd Ste 100
Gallatin, TN 37066-6066

Phone

(615) 428-8079

NPI assigned

Jul 28, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elevate Physical Therapy, Inc.

  • Physical Therapist
  • Gallatin, TN
  • NPI 1114561503
  NPD

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1336524693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-825-0069",
            "fax_number": "270-824-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 HUNT CLUB BLVD STE 100",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666066",
            "telephone_number": "615-428-8079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 S Main St",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424312846",
            "country_code": "US",
            "telephone_number": "270-825-0069",
            "fax_number": "270-824-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRIDER",
        "first_name": "IAN",
        "middle_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-28",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarrod Franklin Craig, M.D.
• Clayton Crawley, DO
• Veronica D. Crawley, NP
• Olivia Creasey
• Brittany Crider, MD
• Anne Cronin, SLP-CCC
• Amy Crossfield
• Crossroads Urgent Care PLLC (AST - UC - Gallatin)
• Jennie C. Crousser, RN
• Lisa Crowder, M.S.

• Physical Therapist in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.