Craig Combs, PTA, CCI

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2116880 Issued in TX

Practice address

615 Country Club Cir
Athens, TX 75751-3165

Phone

(903) 312-9548

NPI assigned

Apr 20, 2019

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

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": "1555718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555718400000",
    "number": "1568025930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 COUNTRY CLUB CIR",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513165",
            "telephone_number": "903-312-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 COUNTRY CLUB CIR",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513165",
            "telephone_number": "903-312-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "CRAIG",
        "credential": "PTA, CCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-20",
        "last_updated": "2019-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2116880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Danielle Cleaver, D.O.
• Mark A Clemons, PSY.D.
• Matthew Bennett Coggins, PHARMD
• Coker and Qualls, PA
• Karah L Coker, MD
• Melissa Ellen Combs
• Community Counseling Center Inc
• Community Roots Healthcare PLLC
• Amber N Cook, MD
• Shecarra Cook

• All providers in Athens, TX
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.