Braden G Crawford, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3605 Issued in OK

Practice address

2225 N Main St
Miami, OK 74354-1620

Phone

(918) 542-4101

Fax

(918) 542-4410

NPI assigned

Feb 14, 2023

Last updated

Feb 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

• Neo Orthopedic and Rehabilitation LLC

  dba NEO Orthopedics and Rehabilitation LLC

  • Physical Therapist
  • Miami, OK
  • NPI 1720153638
  NPD

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1508563057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 N MAIN ST",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541620",
            "telephone_number": "918-542-4101",
            "fax_number": "918-542-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N MAIN ST",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541620",
            "telephone_number": "918-542-4101",
            "fax_number": "918-542-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "BRADEN",
        "middle_name": "G",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSURE",
            "identifier": "3605",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tomie Costerisan, PTA
• Benjamin Costley
• Taylor R Couch, M.D.
• Becca Shay Cox, PTA
• Craig County Hospital Authority (NEO Medical Center)
• Tia Crawford
• Michael Creech
• Creoks Mental Health Services
• Brianne Kirchgessner Crews, PHARMD, MBA
• Nicholas Sinar Crisp

• Physical Therapy Assistant in Miami, OK
• Providers in Miami, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.