Walter John Crawford, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32677 Issued in CA

Practice address

6960 Destiny Dr
Suite 100
Rocklin, CA 95677-2993

Phone

(916) 625-9295

Fax

(916) 625-9298

NPI assigned

May 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Good Health Medical IncGroup PAC ID 4385130517, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

24.4 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

81.35

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Good Health Medical Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Sacramento, CA
  • NPI 1710857933
  Medicare reassignment Care Compare group NPD
• Neuro Orthopedic Rehabilitation Center, Inc.

  • Physical Therapist
  • Rocklin, CA
  • NPI 1255384962
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1659325538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 69TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958203416",
            "telephone_number": "916-739-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 DESTINY DR",
            "address_2": "SUITE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772993",
            "telephone_number": "916-625-9295",
            "fax_number": "916-625-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "WALTER",
        "middle_name": "JOHN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Cozington, PPS
• Craig Wilkes
• Ileana Rose Craig
• Sage Craig
• Carissa Crail, RN, IBCLC
• Amanda Crudo, RBT
• Crutchfield Pediatric Dental Group
• Jude Crutchfield, D.M.D
• Christopher Cruz
• Alicia Eve Cukjati, IBCLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.