Individual provider Active NPI

Timothy Blair Crutchfield Jr.

  • Physical Therapist
  • Chapel Hill, NC
National Provider Identifier
1346040011
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23871 Issued in NC
Practice address
7310 Millhouse Rd Ste 125
Chapel Hill, NC 27516-5106
Phone
(919) 803-0738
NPI assigned
Mar 13, 2025
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P23871 NC Primary

Addresses

Primary practice location

7310 Millhouse Rd Ste 125
Chapel Hill, NC 27516-5106

Mailing address

8470 Falls of Neuse Rd Ste 100
Raleigh, NC 27615-3550
Phone (919) 803-0738

Other practice location 1

8470 Falls Of Neuse Rd Ste 100
Raleigh, NC 27615-3550
Phone (919) 803-0738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250603000072 NC Practitioner - Physical Therapist in Private Practice 3577072461 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P23871NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
HPT, Inc Physical Therapist CurrentSince Mar 7, 2025 Accepting new patients

Locations

8470 Falls of Neuse Rd
Ste 100
Raleigh, NC 27615

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1346040011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8470 FALLS OF NEUSE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153550",
            "telephone_number": "919-803-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 MILLHOUSE RD STE 125",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275165106",
            "telephone_number": "919-803-0738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8470 Falls Of Neuse Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276153550",
            "country_code": "US",
            "telephone_number": "919-803-0738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUTCHFIELD",
        "first_name": "TIMOTHY",
        "middle_name": "BLAIR",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.