Individual provider Active NPI

William Thomas Crow, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Ocoee, FL
National Provider Identifier
1477578151
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
OS13483 Issued in FL
Practice address
11101 W Colonial Dr
Ocoee, FL 34761-2977
Phone
(407) 574-2880
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OS13483 FL Primary

Addresses

Primary practice location

11101 W Colonial Dr
Ocoee, FL 34761-2977

Mailing address

11101 W Colonial Dr
Ocoee, FL 34761-2977
Phone (407) 574-2880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050110000731 FL Practitioner - Osteopathic Manipulative MedicinePractitioner - Family PracticePractitioner - Internal Medicine 3779484191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Internal Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 1987
Medicare assignment
May accept Medicare assignment
Group practices
River of Life Osteopathic LLCGroup PAC ID 1658548748, 5 clinicians

Practice addresses (Care Compare)

11101 W Colonial Dr
Ocoee, FL 34761-2977
Phone (407) 574-2880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
River of Life Osteopathic LLC Family Medicine CurrentSince Aug 6, 2018 Accepting new patients

Locations

2705 Maguire Rd
Ocoee, FL 34761
Phone (407) 574-2880

11101 W Colonial Dr
Ocoee, FL 34761
Phone (407) 574-2880

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1477578151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612977",
            "telephone_number": "407-574-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612977",
            "telephone_number": "407-574-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROW",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS13483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.