Active NPI
Matthew Gerard Crowe, PT, DPT
- Physical Therapist
- Elizabethton, TN
National Provider Identifier
1558834903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11657
- Practice address
- 1666 Hillview Dr
Elizabethton, TN 37643-4116 - Phone
- (423) 542-5061
- NPI assigned
- Jan 8, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | TN | ||
| Physical Therapist | 225100000X | 11657 | TN | Primary |
Addresses
Primary practice location
1666 Hillview Dr
Elizabethton, TN 37643-4116
Mailing address
115 Hazelnut Dr
Jonesborough, TN 37659-6196
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11657 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1558834903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 HAZELNUT DR",
"city": "JONESBOROUGH",
"state": "TN",
"postal_code": "376596196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1666 HILLVIEW DR",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376434116",
"telephone_number": "423-542-5061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWE",
"first_name": "MATTHEW",
"middle_name": "GERARD",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-08",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "11657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.