Individual provider Active NPI

Elisabeth Ashley B Crisp, DPT

  • Physical Therapist
  • Haleyville, AL
National Provider Identifier
1770822686
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH6744 Issued in AL
Practice address
42465 Highway 195
Haleyville, AL 35565-7052
Phone
(205) 486-2753
Fax
(205) 486-2109
NPI assigned
Feb 13, 2013
Last updated
Sep 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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 PTH6744 AL Primary

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 1

  • Elisabeth Ashley Boykin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130308000002 AL Practitioner - Physical Therapist in Private Practice 8426203936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Rehabilitation, IncGroup PAC ID 3577462126, 182 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH6744ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc Physical Therapist CurrentSince Jul 24, 2016 Accepting new patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Oct 1, 2013 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Oct 1, 2013 Accepting new patients
Encore Rehabilitation, Inc. Physical Therapist CurrentSince Jul 24, 2016 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

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

21862 State Highway 59 S
Robertsdale, AL 36567
Phone (251) 947-3410

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1770822686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON STREET SE",
            "address_2": "SUITE 300",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012515",
            "telephone_number": "250-340-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42465 HIGHWAY 195",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657052",
            "telephone_number": "205-486-2753",
            "fax_number": "205-486-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISP",
        "first_name": "ELISABETH ASHLEY",
        "middle_name": "B",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-13",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "BOYKIN",
            "middle_name": "ASHLEY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Haleyville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.