Amanda Crecelius, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

21 Crossroads Dr Ste 330
Owings Mills, MD 21117-5482

Phone

(410) 983-9873

NPI assigned

Jul 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Red Canyon LLCGroup PAC ID 1052618352, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Red Canyon, LLC

  • Physical Therapist
  • Frederick, MD
  • NPI 1952768673
  Medicare reassignment Care Compare group NPD
• Red Canyon, LLC

  • Physical Therapist
  • Martinsburg, WV
  • NPI 1841872405
  NPD
• Red Canyon, LLC

  • Physical Therapist
  • Frederick, MD
  • NPI 1134660954
  NPD (past)

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1740916329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CROSSROADS DR STE 330",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175482",
            "telephone_number": "410-983-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CROSSROADS DR STE 330",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175482",
            "telephone_number": "410-983-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRECELIUS",
        "first_name": "AMANDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micaiah Trenee Cox
• Mark Winthrop Crandall, MD
• Jennifer Crawford, LCSW-C
• Susan E Creamer, PAC
• Creating Better Opportunities Inc
• Crediblecare Services LLC
• Lindsay S Creed, AU.D., CCC-A, FAAA
• Beth Creeger, MAC., L.AC.
• Christine Ann Cronin, LCSW-C
• Cross Keys Pediatrics LLC

• Physical Therapist in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.