Theodore Weston Croy III, MPT, OCS, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7613 Issued in NC

Practice address

230 Duncan Drive
Tuttle Army Health Clinic Physical Therapy Section
Hunter Army Airfield, GA 31409-5320

Phone

(912) 315-6129

Fax

(912) 315-3664

NPI assigned

Aug 10, 2005

Sex

Male

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

• Ted Croy Other 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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1528069689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 YOUNG WAY",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313245291",
            "telephone_number": "912-756-3003",
            "fax_number": "912-315-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 DUNCAN DRIVE",
            "address_2": "TUTTLE ARMY HEALTH CLINIC PHYSICAL THERAPY SECTION",
            "city": "HUNTER ARMY AIRFIELD",
            "state": "GA",
            "postal_code": "314095320",
            "telephone_number": "912-315-6129",
            "fax_number": "912-315-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROY",
        "first_name": "THEODORE",
        "middle_name": "WESTON",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MPT, OCS, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "7613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TED",
            "last_name": "CROY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Starsky Sharpricia Clark, PHARM D.
• Lasundra Walker Hursey, LCSW
• Francisco Ruiz, DMD

• All providers in Hunter Army Airfield, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.