Active NPI
Michael G Crockett, MPT
- Physical Therapist
- Moorhead, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1289
- 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
- Last updated
- Apr 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6271 | MN | |
| Physical Therapist | 225100000X | 1289 | ND | Primary |
Addresses
Primary practice location
2901 S Frontage Rd Ste 3
Moorhead, MN 56560-2572
Mailing address
2901 S Frontage Rd Ste 3
Moorhead, MN 56560-2572
Phone (218) 233-7029
Other practice location 1
2301 25th Ave S
Suite B
Fargo, ND 58103-5135
Phone (701) 280-2212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2901 S Frontage Rd
Suite 3
Moorhead, MN 56560-2572
Phone (218) 233-7029
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6271 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med-Plus Therapy LTD | Physical Therapist | Current | Accepting new patients |
Locations
2901 S Frontage Rd
Ste 3
Moorhead, MN 56560
Phone (218) 233-7029
2921 S Frontage Rd
Ste 2
Moorhead, MN 56560
Organizations & group practices 1
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.
NPI Registry JSON
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": []
}
Other providers in Moorhead, MN
Sources for this page
- 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.