Michael Crossman, PT
Individual provider Active NPI Physical Therapist · Payson, AZ
NPI 1366445710 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1366445710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1606 (AZ)
- Practice address
- 903 E State Highway 260
Ste 1
Payson, AZ 85541-4972 - Phone
- (928) 474-0429
- Fax
- (928) 474-0199
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plastic Surgeons of Northern Arizona, PLLC | Past | Accepting new patients | |
| Nossek Rehab LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1606 | AZ | Yes |
Addresses
Primary practice location
903 E State Highway 260
Ste 1
Payson, AZ 85541-4972
Mailing address
903 E State Highway 260
Ste 1
Payson, AZ 85541-4972
Phone (928) 474-0429
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0295990 | Other | AZ | BCBS AZ |
| 1Z6798 | Other | AZ | HEALTH NET |
| 64-00187 | Other | AZ | UNITED HEALTH PLAN |
| F02383 | Other | AZ | PHOENIX HEALTH PLAN |
| 783135 | Medicaid | AZ |
Other providers in Payson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.