Active NPI
Jason Crawford, AT
- Sports Physical Therapist
- Jackson, OH
National Provider Identifier
1740353580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- AT001304
- Practice address
- 280 Pattonsville Rd
Jackson, OH 45640-9452 - Phone
- (740) 395-8801
- Fax
- (740) 395-8819
- NPI assigned
- Nov 17, 2006
- 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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | AT001304 | OH | Primary |
Addresses
Primary practice location
280 Pattonsville Rd
Jackson, OH 45640-9452
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 395-8805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT001304 | Other | OH | OHIO LICENSE |
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 |
|---|---|---|---|
| AT001304 | OH | MD | Sports Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1740353580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "740-395-8805",
"fax_number": "740-439-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 PATTONSVILLE RD",
"city": "JACKSON",
"state": "OH",
"postal_code": "456409452",
"telephone_number": "740-395-8801",
"fax_number": "740-395-8819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "JASON",
"credential": "AT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "OH",
"license": "AT001304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO LICENSE",
"identifier": "AT001304",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.