Individual provider Active NPI

Noah Wilson Crowther, DPT

  • Physical Therapist
  • Warren, MI
National Provider Identifier
1588905368
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016179 Issued in MI
Practice address
27789 Mound Rd Ste 300
Warren, MI 48092-2697
Phone
(586) 203-9888
Fax
(586) 580-9948
NPI assigned
Mar 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501016179 MI Primary

Addresses

Primary practice location

27789 Mound Rd Ste 300
Warren, MI 48092-2697

Mailing address

17425 Macarthur
Redford, MI 48240-2242
Phone (313) 418-2489

Other practice location 1

38777 6 Mile Rd Ste 209
Livonia, MI 48152-2660
Phone (888) 414-7056

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

LicenseStateTypeSpecialty
5501016179MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Energy Physical Therapy and Rehabilitation LLC Physical Therapist PastSince Aug 25, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1588905368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17425 MACARTHUR",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402242",
            "telephone_number": "313-418-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27789 MOUND RD STE 300",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922697",
            "telephone_number": "586-203-9888",
            "fax_number": "586-580-9948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38777 6 Mile Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481522660",
            "country_code": "US",
            "telephone_number": "888-414-7056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWTHER",
        "first_name": "NOAH",
        "middle_name": "WILSON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-04",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.