Alexa Croley, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT026687 Issued in PA

Practice address

1564 Route 507 Ste C
Greentown, PA 18426-4502

Phone

(570) 676-0700

Fax

(570) 676-0766

NPI assigned

Mar 15, 2018

Last updated

Mar 15, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Procare Physical Therapy Inc

  • Physical Therapist
  • Towanda, PA
  • NPI 1003876319
  NPD (past)

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1770086738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 NORTHERN BLVD",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184118740",
            "telephone_number": "570-842-9323",
            "fax_number": "570-842-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 ROUTE 507 STE C",
            "city": "GREENTOWN",
            "state": "PA",
            "postal_code": "184264502",
            "telephone_number": "570-676-0700",
            "fax_number": "570-676-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROLEY",
        "first_name": "ALEXA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Abbott, PHARM.D, RPH
• Kelly Anne Adams, BCBA
• Alice MC Cormick DO PC
• Alice McCormick, D.O., P.C.
• Tamara Cykosky, BCBA
• Edward C Desmet Jr., MSPT
• Devereux Foundation
• Doris Domingue, ARDMS
• Nicholas Franssen, DPT

• Physical Therapist in Greentown, PA
• Providers in Greentown, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.