Active NPI
Eric Crest
- Athletic Trainer
- Chestnut Hill, MA
National Provider Identifier
1669878153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2189-AT
- Practice address
- 140 Commonwealth Ave
124
Chestnut Hill, MA 02467-3800 - Phone
- (617) 552-0996
- NPI assigned
- Nov 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2189-AT | MA | Primary |
Addresses
Primary practice location
140 Commonwealth Ave
124
Chestnut Hill, MA 02467-3800
Mailing address
140 Commonwealth Ave
124 -Sports Medicine
Chestnut Hill, MA 02467-3800
Phone (617) 552-0996
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2189-AT | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415577600000",
"number": "1669878153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 COMMONWEALTH AVE",
"address_2": "124 -SPORTS MEDICINE",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673800",
"telephone_number": "617-552-0996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 COMMONWEALTH AVE",
"address_2": "124",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673800",
"telephone_number": "617-552-0996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREST",
"first_name": "ERIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-10",
"last_updated": "2014-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "2189-AT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.