Organization Active NPI

Croft Physical Therapy

  • Specialist
  • Normal, IL
National Provider Identifier
1346640661
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CROFT PHYSICAL THERAPY
Practice address
211 Landmark Dr Ste D1
Normal, IL 61761-6107
Phone
(309) 452-0704
NPI assigned
Aug 25, 2014
Last updated
Aug 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Leann Croft
Title
Owner/Physical Therapist
Phone
(309) 452-0704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

211 Landmark Dr Ste D1
Normal, IL 61761-6107

Mailing address

211 Landmark Dr Ste D1
Normal, IL 61761-6107

National Provider Directory

National Provider Directory

Locations

211 Landmark Dr
Ste D1
Normal, IL 61761
Phone (309) 452-0704

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1346640661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 LANDMARK DR STE D1",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 LANDMARK DR STE D1",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616107",
            "telephone_number": "309-452-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROFT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "CROFT",
        "authorized_official_first_name": "LEANN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "309-452-0704"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.