Individual provider Active NPI

Michael L Crabill

  • Physical Therapist
  • Lincolnton, NC
National Provider Identifier
1669721437
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P16184 Issued in NC
Practice address
435 N Generals Blvd
Lincolnton, NC 28092-3559
Phone
(980) 399-4440
NPI assigned
Sep 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1260116 TX
Physical Therapist 225100000X PT27552 FL
Physical Therapist 225100000X PTL0013354 CO
Physical Therapist 225100000X 05015387A IN
Physical Therapist 225100000X CP026863T GA
Physical Therapist 225100000X P16184 NC Primary

Addresses

Primary practice location

435 N Generals Blvd
Lincolnton, NC 28092-3559

Mailing address

PO Box 412313
Boston, MA 02241-2313
Phone (914) 294-4050

Other practice location 1

1495 Hickory Flat Hwy Ste 200
Canton, GA 30115-4267
Phone (407) 308-3849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160607000646 NC Practitioner - Physical Therapist in Private Practice 2062662323 Reassigns benefits to 1 organization
I20240422002543 GA Practitioner - Physical Therapist in Private Practice 2062662323
I20250627002541 FL Practitioner - Physical Therapist in Private Practice 2062662323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ewing and Thomas, IncGroup PAC ID 2668382052, 6 clinicians

Practice addresses (Care Compare)

5311 Grand Blvd
New Port Richey, FL 34652-4014
Phone (727) 848-3962

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
90
Improvement activities
40
Cost
75.04

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8852SCMDGeneral Practice Dentistry
PTL0013354COMDPhysical Therapist
PT27552FLMDPhysical Therapist
CP026863TGAMDPhysical Therapist
05015387AINMDPhysical Therapist
P16184NCMDPhysical Therapist
1260116TXMDPhysical Therapist

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Ivyrehab North Carolina LLC CurrentSince Feb 5, 2025 Accepting new patients
Ewing and Thomas, Inc Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Feb 5, 2025 Accepting new patients
Ewing and Thomas, Inc. Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Past Accepting new patients

Locations

11329 Cortez Blvd
Brooksville, FL 34613
Phone (352) 340-5935

5311 Grand Blvd
New Prt Rchy, FL 34652
Phone (727) 848-3962

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958

435 N Generals Blvd
Lincolnton, NC 28092
Phone (809) 399-4440

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: michael.craybill.1@15749.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1669721437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412313",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412313",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N GENERALS BLVD",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923559",
            "telephone_number": "980-399-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1495 Hickory Flat Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301154267",
            "country_code": "US",
            "telephone_number": "407-308-3849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRABILL",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-07",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1260116",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27552",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0013354",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015387A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP026863T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.