Individual provider Active NPI

Mark E Crawford, PTA

  • Physical Therapy Assistant
  • Sebring, FL
National Provider Identifier
1427800663
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA15840 Issued in FL
Practice address
5901 US Highway 27 S Ste 10
Sebring, FL 33870-2117
Phone
(863) 314-9991
Fax
(863) 314-0057
NPI assigned
Apr 2, 2024
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA15840 FL Primary

Addresses

Primary practice location

5901 US Highway 27 S Ste 10
Sebring, FL 33870-2117

Mailing address

5901 US Highway 27 S Ste 10
Sebring, FL 33870-2117
Phone (863) 314-9991

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA15840FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
RJB Cardiac & Physical Rehabilitation, Inc. PastSince Apr 9, 2024 Accepting new patients
RJB Cardiac & Physical Rehabilitation Inc. PastSince Apr 9, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1427800663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 US HIGHWAY 27 S STE 10",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702117",
            "telephone_number": "863-314-9991",
            "fax_number": "863-314-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 US HIGHWAY 27 S STE 10",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702117",
            "telephone_number": "863-314-9991",
            "fax_number": "863-314-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA15840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.