Active NPI
Thomas James Crippen, DPT
- Physical Therapist
- Missoula, MT
National Provider Identifier
1477044626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5534
- Practice address
- 2001 S Russell St
Missoula, MT 59801-6621 - Phone
- (406) 543-7860
- Fax
- (406) 543-7862
- NPI assigned
- May 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5534 | ID | Primary |
Addresses
Primary practice location
2001 S Russell St
Missoula, MT 59801-6621
Mailing address
100 Cotter CT
Missoula, MT 59803-3351
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 |
|---|---|---|---|
| 5534 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Montana | Physical Therapist | Past | Accepting new patients |
| Element Audiology PLLC | Past | 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 and National Provider Directory roles.
-
- Audiologist
- Missoula, MT
- NPI 1285397364
-
- Physical Therapist
- Missoula, MT
- NPI 1588022594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1477044626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 COTTER CT",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598033351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S RUSSELL ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016621",
"telephone_number": "406-543-7860",
"fax_number": "406-543-7862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIPPEN",
"first_name": "THOMAS",
"middle_name": "JAMES",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-23",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "5534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.