Crest Physical Therapy , Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CREST PHYSICAL THERAPY , INC.

Practice address

3754 SW 56TH Rd
Gainesville, FL 32608-5132

Phone

(352) 219-6769

NPI assigned

May 2, 2016

Last updated

May 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Akinsola Mikail Akinyode, PT

Title

President/Ceo

Phone

(352) 219-6769

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1730534371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3754 SW 56TH RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085132",
            "telephone_number": "352-219-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 SW 56TH RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085132",
            "telephone_number": "352-219-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST PHYSICAL THERAPY , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "AKINYODE",
        "authorized_official_first_name": "AKINSOLA",
        "authorized_official_middle_name": "MIKAIL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "352-219-6769",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crescent Healthcare, Inc. (Crescent Healthcare)
• Crescent Healthcare, Inc. (Crescent Healthcare)
• Adriana Maria Crespo, MD
• Carolyn Crespo
• Stephen Michael Crespo, P.T.A.
• Amy Elizabeth Crews, AUD
• Amy Lynn Crews, APRN
• Bailee Crews
• Dawn Marcheta Crews, OTR/L
• Jacquelyn Faryn Crews, MD

• Specialist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.