Active NPI
Cynthia S Creighton, OTR
- Specialist
- Goshen, IN
National Provider Identifier
1760507180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 31000164A
- Practice address
- 2107 Cambridge Dr Apt C
Goshen, IN 46528-5703 - Phone
- (574) 202-6640
- Fax
- (574) 534-8733
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 31000164A | IN | Primary |
Addresses
Primary practice location
2107 Cambridge Dr Apt C
Goshen, IN 46528-5703
Mailing address
PO Box 2902
Elkhart, IN 46515-2902
Phone (574) 202-6640
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 |
|---|---|---|---|
| 31000164A | IN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cynthia S. Creighton, M.S., Otr | Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Goshen, IN
- NPI 1033385992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760507180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2902",
"city": "ELKHART",
"state": "IN",
"postal_code": "465152902",
"telephone_number": "574-202-6640",
"fax_number": "574-534-8733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 CAMBRIDGE DR APT C",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465285703",
"telephone_number": "574-202-6640",
"fax_number": "574-534-8733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREIGHTON",
"first_name": "CYNTHIA",
"middle_name": "S",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "31000164A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.