Individual provider Active NPI

Jonathan Crawford, PTA

  • Physical Therapy Assistant
  • Wasilla, AK
National Provider Identifier
1427868439
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
218481 Issued in AK
Practice address
892 E USA Cir Ste 108
Wasilla, AK 99654-7106
Phone
(907) 357-1818
NPI assigned
Jan 10, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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 218481 AK Primary

Addresses

Primary practice location

892 E USA Cir Ste 108
Wasilla, AK 99654-7106

Mailing address

1160 N Iroquois Dr
Wasilla, AK 99654-6702
Phone (941) 730-3541

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
218481AKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Altair Integrative Wellness CurrentSince Jan 12, 2025 Accepting new patients
Altair Chiropractic, LLC PastSince Jan 12, 2025 Accepting new patients

Locations

892 E USA Cir
Ste 108
Wasilla, AK 99654
Phone (907) 357-1818

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": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1427868439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 N IROQUOIS DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546702",
            "telephone_number": "941-730-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 E USA CIR STE 108",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547106",
            "telephone_number": "907-357-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AK",
            "license": "218481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.