Austin Craven, PT, DPT, ATC, CSCS
Individual provider Active NPI Physical Therapist · Ardmore, PA
NPI 1770059909 · NPPES record last updated Oct 19, 2018
Key facts
- NPI
- 1770059909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT027329 (PA)
- Practice address
- 74 Rittenhouse PL
Ardmore, PA 19003-2227 - Phone
- (484) 413-2973
- NPI assigned
- Oct 15, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5232 | ME | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5232 | ME | |
| Physical Therapist | 225100000X | PT027329 | PA | Yes |
Addresses
Primary practice location
74 Rittenhouse PL
Ardmore, PA 19003-2227
Mailing address
800 Lisburn Rd
Carlisle, PA 17015-9230
Phone (267) 884-2266
Other practice location 1
215 Sugartown Rd
Wayne, PA 19087-3137
Phone (484) 582-0660
Other providers in Ardmore, PA
- Coremovement Physical Therapy
- Lauren Cornew
- Barbara Cortellini Benamy
- Marc D Cotler
- James J Coupe III
- Caitlyn Crawford
- Creative Play & Family Counseling
- Paul Darby Cryan
- Cura Acuspa, Inc.
- Sara J Curran
All providers in Ardmore, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.