Ellen Roe Craig, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

OPT16260

Practice address

2945 Bell Road
#215
Auburn, CA 95603

Phone

(916) 367-1888

Fax

(530) 888-0885

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capuchino Therapy GroupGroup PAC ID 2860554839, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Capuchino Therapy Group

  • Speech-Language Pathologist
  • Sacramento, CA
  • NPI 1568538064
  Medicare reassignment Care Compare group NPD
• Body Logic Physical Therapy, P.C.

  • Physical Therapist
  • Grass Valley, CA
  • NPI 1285929141
  NPD (past)
• Seivert Physical Therapy PC

  • Physical Therapist
  • Grass Valley, CA
  • NPI 1114000445
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1629088646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 BUCKBOARD RD",
            "city": "NEWCASTLE",
            "state": "CA",
            "postal_code": "956589431",
            "telephone_number": "916-663-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 BELL ROAD",
            "address_2": "#215",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95603",
            "telephone_number": "916-367-1888",
            "fax_number": "530-888-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "ELLEN",
        "middle_name": "ROE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "OPT16260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ08443Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Covenant Health Medical Group
• Celina Deanna Covert-Lovato
• Annette P Cowan, MFCC, CRS, RN, FAPA
• Christina Maria Cox, R.D.H.
• Marcia Craig-Smith, PSY.D.
• Ambrosia Cramer
• K'Dee Crews, PHD
• Crill Chiropractic Corporation
• John Scott Crill, DC
• Lori Croci

• Physical Therapist in Auburn, CA
• Providers in Auburn, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.

Verify at the official NPI Registry.