Active NPI
Crissi L Stuckey, PT
- Physical Therapist
- Wauseon, OH
National Provider Identifier
1659503043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501015789
- Practice address
- 303 West Leggett Street
Wauseon, OH 43567 - Phone
- (419) 337-3050
- Fax
- (419) 337-3212
- NPI assigned
- Aug 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5779 | FL | |
| Physical Therapist | 225100000X | PT9767 | OH | |
| Physical Therapist | 225100000X | 5501015789 | MI | Primary |
Addresses
Primary practice location
303 West Leggett Street
Wauseon, OH 43567
Mailing address
303 West Leggett Street
Wauseon, OH 43567
Phone (419) 337-3050
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5779 | FL | MD | Physical Therapist |
| PT9767 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328227200000",
"number": "1659503043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 WEST LEGGETT STREET",
"city": "WAUSEON",
"state": "OH",
"postal_code": "43567",
"telephone_number": "419-337-3050",
"fax_number": "419-337-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 WEST LEGGETT STREET",
"city": "WAUSEON",
"state": "OH",
"postal_code": "43567",
"telephone_number": "419-337-3050",
"fax_number": "419-337-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUCKEY",
"first_name": "CRISSI",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-18",
"last_updated": "2012-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT5779",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT9767",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501015789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wauseon, OH
- Bonnie Spiess
- Jamie Spiess
- John Stehulak, O.D.
- Brenda K Stickley
- Emily Stockham
- Alicia Sumner
- Sunshine Inc. Residential and Support Services
- Molly Nicole Suter, M.S. CF-SLP
- Swanson Orthotics & Prosthetics Center, Inc. (Swanson Regional Orthotic & Prosthetic Research Center)
- T. Frederick Weigand Jr MD Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.