Individual provider Active NPI

Dana Lynne Crowe, P.T.A.

  • Physical Therapy Assistant
  • Huntington Beach, CA
National Provider Identifier
1710059456
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
3156 Issued in CA
Practice address
2100 Main St
Suite 250
Huntington Beach, CA 92648-2475
Phone
(714) 374-0233
Fax
(714) 374-0244
NPI assigned
Nov 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 3156 CA Primary

Addresses

Primary practice location

2100 Main St
Suite 250
Huntington Beach, CA 92648-2475

Mailing address

17656 Fremont St
Fountain Valley, CA 92708-4609
Phone (714) 849-0880

Other names 1

  • Mrs. Dana Lynne Crowe Former name

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

LicenseStateTypeSpecialty
3156CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physical RX Physical Therapy, Inc. Physical Therapy Assistant PastSince Apr 25, 2016 Accepting new patients

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710059456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17656 FREMONT ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084609",
            "telephone_number": "714-849-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MAIN ST",
            "address_2": "SUITE 250",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482475",
            "telephone_number": "714-374-0233",
            "fax_number": "714-374-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWE",
        "first_name": "DANA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "3156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "CROWE",
            "middle_name": "LYNNE",
            "prefix": "MRS.",
            "credential": "P.T.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • 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.