Jacob McCrowell, DPT, CMTPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305206470 Issued in VA

Practice address

4554 Virginia Beach Blvd Ste 970
VA Beach, VA 23462-3047

Phone

(757) 742-3778

NPI assigned

Oct 14, 2014

Last updated

Oct 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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 VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Direct Performance Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Virginia Beach, VA
  • NPI 1871998278

  Physical Therapist

  Medicare reassignment NPD
• DPPT 2, LLC

  dba Direct Performance Physical Therapy

  • Physical Therapy Clinic/Center
  • Norfolk, VA
  • NPI 1932615150

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1669876017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 W GREAT NECK RD STE 101",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234511556",
            "telephone_number": "757-742-3787",
            "fax_number": "757-585-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 VIRGINIA BEACH BLVD STE 970",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234623047",
            "telephone_number": "757-742-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCROWELL",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DPT, CMTPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-14",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Martin, PA
• Kimberly Duncan Martinez, FNP
• Mawussi Komi
• Karen McCleu-Jackson, MS, SCHOOL PSYCHOLOG
• Natalie McCorey, LPC
• Charles Scott McEnroe, MD
• Laura Speas McFarland, PT
• Megan K Mikovits, DPT
• Jennifer U Miles-Thomas, M.D.
• Sharita Miller

• Physical Therapist in VA Beach, VA
• Providers in VA Beach, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.