Mindy Kaye Credeur, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA8645 Issued in AL

Practice address

1810 W Cervantes St
Pensacola, FL 32501-0001

Phone

(662) 714-3122

Fax

(850) 782-0058

NPI assigned

Apr 11, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Accessible Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Pensacola, FL
  • NPI 1649900408
  NPD

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1407609076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389650056",
            "telephone_number": "662-714-3122",
            "fax_number": "662-714-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 W CERVANTES ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325010001",
            "telephone_number": "662-714-3122",
            "fax_number": "850-782-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREDEUR",
        "first_name": "MINDY",
        "middle_name": "KAYE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA8645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Hayes Crawford, PA-C
• Sandra Kay Crawford, LCSW, CAP, CET
• Scott Alexander Crawford, PA
• David J Creahan Jr., RPH
• Jessica Creamer, DPT
• Creekside Psychiatric Center
• Creekside Psychiatric Center PA
• Creighton Chiropractic Center
• Cherry A. Creighton, AUD
• Elizabeth Anne Cremeans, MS, OTR/L

• Physical Therapy Assistant in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.