Active NPI
Ross M Craig, MPT
- Physical Therapist
- Richland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00010485
- Practice address
- 875 Swift Blvd
Richland, WA 99352 - Phone
- (509) 946-1654
- Fax
- (509) 943-5652
- NPI assigned
- Aug 23, 2007
- 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 | PT00010485 | WA | Primary |
| Physical Therapist | 225100000X | 009727 | CT |
Addresses
Primary practice location
875 Swift Blvd
Richland, WA 99352
Mailing address
560 Gage Blvd
Suite 203
Richland, WA 99352
Phone (509) 942-3627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568655538 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009727 | CT | MD | Physical Therapist |
| PT00010485 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients |
Locations
1351 Fowler St
Ste 110
Richland, WA 99352
Phone (509) 942-2574
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
1351 Fowler St
Richland, WA 99352
Phone (509) 942-2660
875 Swift Blvd
Richland, WA 99352
Phone (509) 943-8977
1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300
560 Gage Blvd
Ste 203
Richland, WA 99352
Phone (509) 942-3135
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- Rehabilitation Hospital Unit
- Richland, WA
- NPI 1790319580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1568655538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 GAGE BLVD",
"address_2": "SUITE 203",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-942-3627",
"fax_number": "509-942-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 SWIFT BLVD",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-946-1654",
"fax_number": "509-943-5652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "ROSS",
"middle_name": "M",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-23",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010485",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "009727",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1568655538",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.