Individual provider Active NPI

Anthony Briar Craig, PT

  • Physical Therapist
  • Boardman, OH
National Provider Identifier
1376041863
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019293 Issued in OH
Practice address
1265 Boardman Canfield Rd
Boardman, OH 44512-4004
Phone
(330) 758-9400
Fax
(330) 272-6386
NPI assigned
Jan 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X
Physical Therapist 225100000X PT019293 OH Primary

Addresses

Primary practice location

1265 Boardman Canfield Rd
Boardman, OH 44512-4004

Mailing address

1265 Boardman Canfield Rd
Boardman, OH 44512-4004
Phone (330) 758-9400

Other practice location 1

1265 Boardman Canfield Rd
Boardman, OH 44512-4004
Phone (330) 758-9400 ext. 214

Other practice location 2

16844 Saint Clair Ave
East Liverpool, OH 43920-4277
Phone (303) 863-6500

Other practice location 3

8720 E Market St Ste 10
Warren, OH 44484-2364
Phone (330) 469-2519

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

LicenseStateTypeSpecialty
PT019293OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Sports & Spine Institute, LTD CurrentSince Jul 1, 2021 Accepting new patients
Ohio Sports & Spine Institute, LTD CurrentSince Jul 1, 2021 Accepting new patients

Locations

16844 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 385-2413

8720 E Market St
Ste 10
Warren, OH 44484
Phone (330) 469-2519

1265 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 758-8808

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1376041863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124004",
            "telephone_number": "330-758-9400",
            "fax_number": "330-726-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124004",
            "telephone_number": "330-758-9400",
            "fax_number": "330-272-6386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1265 Boardman Canfield Rd",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445124004",
            "country_code": "US",
            "telephone_number": "330-758-9400 x214",
            "fax_number": "330-726-8676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16844 Saint Clair Ave",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439204277",
            "country_code": "US",
            "telephone_number": "303-863-6500",
            "fax_number": "330-386-1277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8720 E Market St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444842364",
            "country_code": "US",
            "telephone_number": "330-469-2519",
            "fax_number": "330-726-8676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "ANTHONY",
        "middle_name": "BRIAR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-30",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.