Individual provider Active NPI

Renee J Crickmore, M.P.T.

  • Physical Therapist
  • Phoenixville, PA
National Provider Identifier
1669490058
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017719 Issued in PA
Practice address
528 Kimberton Rd
Phoenixville, PA 19460-4737
Phone
(610) 933-6232
Fax
(610) 933-6234
NPI assigned
Jul 17, 2006
Last updated
Feb 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017719 PA Primary

Addresses

Primary practice location

528 Kimberton Rd
Phoenixville, PA 19460-4737

Mailing address

2105 Royal CT
Limerick, PA 19468-1379
Phone (610) 792-4651

Other identifiers 1

IdentifierTypeStateIssuer
LE1765902OtherPAHIGHMARK

Other names 1

  • Miss Renee J Leone Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060328000230 PA Practitioner - Physical Therapist in Private Practice 3971511221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pursue Physical Therapy and Wellness Center, IncGroup PAC ID 2163789389, 2 clinicians

Practice addresses (Care Compare)

399 Arcola Rd
Suite 200
Collegeville, PA 19426-3998
Phone (610) 569-0004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pursue Physical Therapy and Wellness Center, Inc. Physical Therapist CurrentSince Oct 1, 2017 Accepting new patients
Neurosurgical Care, LLC CurrentSince Jul 1, 2016 Accepting new patients
Leading Edge Physical Therapy & Sports Medicine, Inc. Physical Therapist Past Accepting new patients

Locations

399 Arcola Rd
Ste 200
Collegeville, PA 19426
Phone (610) 495-3620

649 N Lewis Rd
Ste 225
Royersford, PA 19468
Phone (610) 495-3620

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EACEAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1669490058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 ROYAL CT",
            "city": "LIMERICK",
            "state": "PA",
            "postal_code": "194681379",
            "telephone_number": "610-792-4651",
            "fax_number": "610-565-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 KIMBERTON RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604737",
            "telephone_number": "610-933-6232",
            "fax_number": "610-933-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRICKMORE",
        "first_name": "RENEE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "LE1765902",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "LEONE",
            "middle_name": "J",
            "prefix": "MISS",
            "credential": "MPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.