Greg R Creighton

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00002129 Issued in WA

Practice address

4800 Tumwater Valley Dr
Suite #150
Tumwater, WA 98501

Phone

(360) 493-4160

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679622468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 TUMWATER VALLEY DR",
            "address_2": "SUITE #150",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "98501",
            "telephone_number": "360-493-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 TUMWATER VALLEY DR",
            "address_2": "SUITE #150",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "98501",
            "telephone_number": "360-493-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREIGHTON",
        "first_name": "GREG",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00002129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT00002129",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celia R Courser
• Eric Courts
• Barbara Lea Cox, MA, CDPT, CAAR
• Emily Marie Cox
• Adam Philip Cramer, D.D.S.
• Elizabeth Avonne Cross, MA
• Kevin E Curtis, CDP
• Zakary Phillips Cushing
• Alice Renee Cutter
• Christine E Czaja, CASE MANAGER

• Physical Therapist in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.