Lisa Patrice Crooks, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

AA233 Issued in AK

Practice address

3706 Oregon Dr
Anchorage, AK 99517-2668

Phone

(907) 677-9112

Fax

(907) 677-9221

NPI assigned

Mar 5, 2007

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 identifiers 1

Other names 1

• Mrs. Lisa Patrice Marin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508995572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 OREGON DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995172668",
            "telephone_number": "907-677-9112",
            "fax_number": "907-677-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 OREGON DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995172668",
            "telephone_number": "907-677-9112",
            "fax_number": "907-677-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOKS",
        "first_name": "LISA",
        "middle_name": "PATRICE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AK",
            "license": "AA233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT3666",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MARIN",
            "middle_name": "PATRICE",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Laura J Croix
• Robert R Croley, CARE COORDINATOR, JD
• Matthew Vincent Cronin, MD
• Katherine A Cronk, OT
• Katherine Jobeth Cronlund
• Ayla Crosby
• Richard Crosby, DDS
• Cross River Therapy Ak LLC
• Tangella Cross-Young
• Ann Cross, RN

• All providers in Anchorage, AK
• Orthopedic Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.