Nikki Crosser, DPT, LAT ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8750 Issued in TN

Practice address

103 Main St S
MC Kenzie, TN 38201-2200

Phone

(731) 393-0504

Fax

(731) 393-0508

NPI assigned

Oct 28, 2013

Last updated

Feb 23, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1609204775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MAIN ST. SOUTH",
            "city": "MCKENZIE",
            "state": "TN",
            "postal_code": "38202",
            "telephone_number": "731-393-0504",
            "fax_number": "731-393-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MAIN ST S",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382012200",
            "telephone_number": "731-393-0504",
            "fax_number": "731-393-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSER",
        "first_name": "NIKKI",
        "name_prefix": "Dr.",
        "credential": "DPT, LAT ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-28",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8750",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "6207",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "1640",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "1043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Care Center of McKenzie LLC
• Terry Andrew Colotta, MD
• Sherry Denise Connell, BCBA
• Grace Cooper, ATC
• Cornerstone Health Care of McKenzie, Inc. (Oak Manor Health Care Center)
• Patricia Cunningham, LCSW
• Daniel D Sumrok, MD (UT Med Group)
• Madison Brooke Decker, PHARMD
• Robert Allan Eldredge, ATC
• William Jason Essary, ATC

• Physical Therapist in McKenzie, TN
• Providers in McKenzie, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.