NPIMap

Organization Active NPI

Crescent Cities Charities Inc

Doing business as Crescent Cities Center

  • Physical Therapist
  • Riverdale, MD
National Provider Identifier
1740729151
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16039 Issued in MD
Legal business name
CRESCENT CITIES CHARITIES INC
Doing business as
Crescent Cities Center
Practice address
4409 E West Hwy
Riverdale, MD 20737-1058
Phone
(301) 699-2000
NPI assigned
Feb 17, 2017
Last updated
Sep 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Authorized official

Name
Betsy Godbey
Title
Secretary
Phone
(301) 567-7076

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16039 MD Primary
Occupational Therapist 225X00000X 16039 MD

Addresses

Primary practice location

4409 E West Hwy
Riverdale, MD 20737-1058

Mailing address

4409 E West Hwy
Riverdale, MD 20737-1058
Phone (301) 699-2000

Other identifiers 1

IdentifierTypeStateIssuer
073726700MedicaidMD

Other names 1

  • Crescent Cities Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1740729151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 E WEST HWY",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371058",
            "telephone_number": "301-699-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 E WEST HWY",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371058",
            "telephone_number": "301-699-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT CITIES CHARITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "GODBEY",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "301-567-7076"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "16039",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "16039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073726700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent Cities Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.