Individual provider Active NPI

Stephanie L Crawford, P.T.

  • Physical Therapist
  • Madisonville, KY
National Provider Identifier
1750580098
Registry record updated May 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002534 Issued in KY
Practice address
100 YMCA Dr
Suite 5
Madisonville, KY 42431-9000
Phone
(270) 824-9227
Fax
(270) 824-9206
NPI assigned
Jul 17, 2007
Last updated
May 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 002534 KY Primary

Addresses

Primary practice location

100 YMCA Dr
Suite 5
Madisonville, KY 42431-9000

Mailing address

100 YMCA Dr
Suite 5
Madisonville, KY 42431-9000
Phone (270) 824-9227

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
002534KYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336867200000",
    "number": "1750580098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 YMCA DR",
            "address_2": "SUITE 5",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319000",
            "telephone_number": "270-824-9227",
            "fax_number": "270-824-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 YMCA DR",
            "address_2": "SUITE 5",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319000",
            "telephone_number": "270-824-9227",
            "fax_number": "270-824-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2012-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2012; 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.