Active NPI
Philip Lynn Crossland, MPT
- Physical Therapist
- Plano, TX
National Provider Identifier
1669677969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3405 Midway Rd Ste 500
Plano, TX 75093 - Phone
- (972) 473-0229
- Fax
- (972) 473-7273
- NPI assigned
- Jun 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3405 Midway Rd Ste 500
Plano, TX 75093
Mailing address
3405 Midway Rd Ste 500
Plano, TX 75093-8139
Phone (972) 473-0229
Other practice location 1
1005 Midwestern Pkwy
Wichita Falls, TX 76302-2211
Phone (940) 322-0771
Other practice location 2
1005 Midwestern Pkwy
Wichita Falls, TX 76302-2211
Phone (940) 322-0771
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1140481 | Other | TX | HUMANA |
| 1140481 | Other | TX | LICENSE # |
| 111408402 | Medicaid | TX |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1669677969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 MIDWAY RD STE 500",
"city": "PLANO",
"state": "TX",
"postal_code": "750938139",
"telephone_number": "972-473-0229",
"fax_number": "972-473-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3405 MIDWAY RD STE 500",
"city": "PLANO",
"state": "TX",
"postal_code": "75093",
"telephone_number": "972-473-0229",
"fax_number": "972-473-7273"
}
],
"practiceLocations": [
{
"address_1": "1005 Midwestern Pkwy",
"address_purpose": "LOCATION",
"city": "Wichita Falls",
"state": "TX",
"postal_code": "763022211",
"country_code": "US",
"telephone_number": "940-322-0771",
"fax_number": "940-766-4943",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1005 Midwestern Pkwy",
"address_purpose": "LOCATION",
"city": "Wichita Falls",
"state": "TX",
"postal_code": "763022211",
"country_code": "US",
"telephone_number": "940-322-0771",
"fax_number": "940-766-4943",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROSSLAND",
"first_name": "PHILIP",
"middle_name": "LYNN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1140481",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "1140481",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111408402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.