Elisabeth Ashley B Crisp, DPT
Individual provider Active NPI Physical Therapist · Haleyville, AL
NPI 1770822686 · NPPES record last updated Sep 2, 2016
Key facts
- NPI
- 1770822686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTH6744 (AL)
- Practice address
- 42465 Highway 195
Haleyville, AL 35565-7052 - Phone
- (205) 486-2753
- Fax
- (205) 486-2109
- NPI assigned
- Feb 13, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Encore Rehabilitation, Inc
Practice addresses (Care Compare)
15041 Hwy 43
Russellville, AL 35653-1973
Phone (256) 350-1764
42465 Hwy 195
Haleyville, AL 35565-7052
Phone (205) 486-2753
5643 Sermon Rd S
B
Theodore, AL 36582-3608
Phone (251) 660-1505
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130308000002 | AL | Practitioner - Physical Therapist in Private Practice | 8426203936 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH6744 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Alabama LLC | Current |
Accepting new patients | |
| Encore Rehabilitation, Inc | Physical Therapist | Current |
Accepting new patients |
| Drayer Physical Therapy-Alabama, LLC | Physical Therapist | Current |
Accepting new patients |
| Encore Rehabilitation, Inc. | Physical Therapist | Current |
Accepting new patients |
| Drayer Physical Therapy-Alabama, LLC | Physical Therapist | Current | Accepting new patients |
Locations
251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708
2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790
651 Main St
Ste 119
Gardendale, AL 35071
Phone (205) 608-3113
42465 Highway 195
Haleyville, AL 35565
Phone (205) 486-2753
2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
21862 State Highway 59 S
Robertsdale, AL 36567
Phone (251) 947-3410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH6744 | AL | Yes |
Addresses
Primary practice location
42465 Highway 195
Haleyville, AL 35565-7052
Mailing address
251 Johnston Street SE
Suite 300
Decatur, AL 35601-2515
Phone (250) 340-9708
Other names
- Elisabeth Ashley Boykin
Other providers in Haleyville, AL
- Christopher D. Borden, DMD PC
- Allison Clark
- Heather Colburn
- Compounding Centers of America
- Compounding Centers of America
- Dan M Lakeman, DMD, PC
- Dick Owens MD LLC
- Alicia M Dodd
- Drayer Physical Therapy Institute LLC
- Drayer Physical Therapy-Alabama, LLC
All providers in Haleyville, AL · Physical Therapist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.