Individual provider Active NPI

Jeremy J Crowell

  • Orthotist
  • Little Rock, AR
National Provider Identifier
1710084272
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
C49836 Issued in MD
Practice address
625 N University Ave
Little Rock, AR 72205-2917
Phone
(501) 664-2624
NPI assigned
Sep 19, 2006
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X C49836 MD
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X C49836 MD Primary

Addresses

Primary practice location

625 N University Ave
Little Rock, AR 72205-2917

Mailing address

203 Hickory St
Edinboro, PA 16412-2016
Phone (571) 214-4392

Other practice location 1

203 Hickory St
Edinboro, PA 16412-2016
Phone (571) 214-4392

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
C49836MDMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Transcend Orthotics & Prosthetics, LLC Orthotist Past Accepting new patients
Transcend Orthotics & Prosthetics, LLC Multi-Specialty Past Accepting new patients

Organizations & group practices 2

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": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1710084272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HICKORY ST",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122016",
            "telephone_number": "571-214-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N UNIVERSITY AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052917",
            "telephone_number": "501-664-2624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Edinboro",
            "state": "PA",
            "postal_code": "164122016",
            "country_code": "US",
            "telephone_number": "571-214-4392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWELL",
        "first_name": "JEREMY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "MD",
            "license": "C49836",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": "MD",
            "license": "C49836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.