Michael G Crockett, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1289 Issued in ND

Practice address

2901 S Frontage Rd Ste 3
Moorhead, MN 56560-2572

Phone

(218) 233-7029

Fax

(218) 233-7029

NPI assigned

Jun 13, 2006

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

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Med-Plus Therapy LTD

  • Physical Therapist
  • Moorhead, MN
  • NPI 1528303310
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1699718403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S FRONTAGE RD STE 3",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602572",
            "telephone_number": "218-233-7029",
            "fax_number": "218-517-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S FRONTAGE RD STE 3",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602572",
            "telephone_number": "218-233-7029",
            "fax_number": "218-233-7029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 25th Ave S",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581035135",
            "country_code": "US",
            "telephone_number": "701-280-2212",
            "fax_number": "701-271-1023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6271",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bill Craig
• Brianna J Crawford, PHD
• Jacqueline Janette Crawford, LP
• Creative Crew Services LLC
• Marie Rene Crilly
• Taylor Crowson
• CSLM, LLC
• Tracy Harriet Cummings - Moorhead
• Bibian Chiagozie Cummings
• Lonny Jay Cummings Jr.

• Physical Therapist in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.