Suzanne McCrum, MS,PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1084556 Issued in TX

Practice address

217 E Bandera Rd Ste 2
Boerne, TX 78006-2992

Phone

(830) 331-2083

NPI assigned

Sep 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Suzanne McCrum Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boerne Speech Therapy LLCGroup PAC ID 5698075323, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Boerne Speech Therapy, LLC

  • Physical Therapist
  • Boerne, TX
  • NPI 1477938942
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1467900886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31620 MEADOW CREEK TRL",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "780154155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E BANDERA RD STE 2",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062992",
            "telephone_number": "830-331-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRUM",
        "first_name": "SUZANNE",
        "credential": "MS,PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1084556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "MCCRUM",
            "credential": "MS,PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Kay McCaig
• Evan McCann, DPT
• Casey McCollum, PT, DPT
• McCrae Management and Investments, LTD.
• Monica L McCrary, MD
• Charles Woodrow McCurley IV, MD
• Wendy Peet McCurley, MD
• Meghan Anne McDonald, M.S. CCC-SLP
• Hunter Francis McFall, PT
• Martin Joseph McGee, CNP

• Physical Therapist in Boerne, TX
• Providers in Boerne, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.