Active NPI
Anthony Briar Craig, PT
- Physical Therapist
- Boardman, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019293
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT019293 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Sports & Spine Institute, LTD | Current | Accepting new patients | |
| Ohio Sports & Spine Institute, LTD | Current | 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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- East Liverpool, OH
- NPI 1760148357
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Boardman, OH
- NPI 1962455196
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.