Nathan R Craver, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003434 Issued in GA

Practice address

11172 Highway 142 N
Covington, GA 30014-2547

Phone

(678) 712-3692

Fax

(678) 712-3693

NPI assigned

Dec 5, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1699280230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11172 HIGHWAY 142 N",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142547",
            "telephone_number": "678-712-3692",
            "fax_number": "678-712-3693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1755 Wittington Pl Ste 175",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752341905",
            "country_code": "US",
            "telephone_number": "214-442-4115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAVER",
        "first_name": "NATHAN",
        "middle_name": "R",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-05",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PTA003434",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Covington Manor Nursing Home LLC
• Covington Manor Nursing Home, LLC
• Covington One Medical,LLC
• Covington Women'S Health Specialist
• Melanie Marie Cox
• Jace John Crawford, PA-C
• Marquitta Crawford, FNP
• Lydia Crenshaw, CERT. HAIR LOSS SPEC
• Critical Care Concepts and Strategies, LLC
• Wanda Sue Cupitt, CPT

• Physical Therapy Assistant in Covington, GA
• Providers in Covington, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.