Shacorrah Nicole Crosby, DPT
Individual provider Active NPI Physical Therapist · Macedonia, OH
NPI 1639430499 · NPPES record last updated Jun 7, 2012
Key facts
- NPI
- 1639430499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT013692 (OH)
- Practice address
- 746 E Aurora Rd
Suite 7
Macedonia, OH 44056-2732 - Phone
- (330) 908-0039
- Fax
- (330) 908-0211
- NPI assigned
- Jun 7, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT013692 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Drayer Physical Therapy Institute LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013692 | OH | Yes |
Addresses
Primary practice location
746 E Aurora Rd
Suite 7
Macedonia, OH 44056-2732
Mailing address
746 E Aurora Rd
Suite 7
Macedonia, OH 44056-2732
Phone (330) 908-0039
Other providers in Macedonia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.