Active NPI
David Briscoe Cronin, PT
- Physical Therapist
- Fitzgerald, GA
National Provider Identifier
1730429747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT000749
- Practice address
- 104 Briarwood Rd
Fitzgerald, GA 31750-6507 - Phone
- (229) 468-5824
- NPI assigned
- Feb 28, 2013
- Last updated
- Feb 28, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT000749 | GA | Primary |
Addresses
Primary practice location
104 Briarwood Rd
Fitzgerald, GA 31750-6507
Mailing address
104 Briarwood Rd
Fitzgerald, GA 31750-6507
Phone (229) 468-5824
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
| License | State | Type | Specialty |
|---|---|---|---|
| 749 | GA | MD | Clinical Psychologist |
| PT000749 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1730429747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 BRIARWOOD RD",
"city": "FITZGERALD",
"state": "GA",
"postal_code": "317506507",
"telephone_number": "229-468-5824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 BRIARWOOD RD",
"city": "FITZGERALD",
"state": "GA",
"postal_code": "317506507",
"telephone_number": "229-468-5824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRONIN",
"first_name": "DAVID",
"middle_name": "BRISCOE",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-28",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT000749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fitzgerald, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.