Individual provider Active NPI

Justin B Crain, RPT

  • Physical Therapist
  • Tallassee, AL
National Provider Identifier
1790721363
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH4404 Issued in AL
Practice address
1000 Friendship Rd
Tallassee, AL 36078-1265
Phone
(334) 283-8032
Fax
(334) 283-1136
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PTH4404 AL Primary

Addresses

Primary practice location

1000 Friendship Rd
Tallassee, AL 36078-1265

Mailing address

1000 Friendship Rd
Tallassee, AL 36078-1265
Phone (334) 283-8032

Other identifiers 4

IdentifierTypeStateIssuer
51531618OtherALBLUE CROSS BLUE SHIELD
Q57152OtherALUPIN
11507998OtherCAQH
7981728OtherALAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129000628 AL Practitioner - Physical Therapist in Private Practice 7416977996 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Rehab Solutions Partners, LLCGroup PAC ID 7719317585, 4 clinicians
Total Rehab, IncGroup PAC ID 2961796495, 6 clinicians
Elite Rehab IncGroup PAC ID 9436476066, 12 clinicians

Practice addresses (Care Compare)

1120 Airport Dr
Suite 103
Alexander City, AL 35010-3444
Phone (256) 392-4896

2515 E Glenn Ave
Suite 104
Auburn, AL 36830-6448
Phone (334) 821-2256

935 Hwy 431
Suite 1
Roanoke, AL 36274-7332
Phone (334) 863-2068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Rehab Solutions LLC Physical Therapist CurrentSince Feb 17, 2024 Accepting new patients
Total Rehab, Inc Physical Therapist CurrentSince May 10, 2016 Accepting new patients
Elite Rehab Inc Physical Therapist CurrentSince Dec 8, 2014 Accepting new patients
Elite Rehab Solutions Partners LLC Physical Therapist CurrentSince Jan 25, 2020 Accepting new patients
Elite Pediatric Solutions LLC Physical Therapist CurrentSince Dec 10, 2024 Accepting new patients
Elite Rehab Inc Physical Therapist CurrentSince Dec 8, 2014 Accepting new patients
Bay Minette Physical Therapy LLC Physical Therapist Current Accepting new patients
Champion Rehab Resources, LLC Physical Therapist PastSince Mar 25, 2026 Accepting new patients
Tallassee Rehab Physical Therapist PastSince Jan 1, 2014 Accepting new patients
Dadeville Sports Medicine & Physical Therapy Physical Therapist PastSince Jan 25, 2020 Accepting new patients
Butler Holdings Company LLC PastSince Oct 1, 2024 Accepting new patients
Therapy Resources,LLC Physical Therapist Past Accepting new patients
Tallassee Rehab PC Physical Therapist Past Accepting new patients

Locations

1120 Airport Dr
Ste 103
Alexander City, AL 35010
Phone (256) 329-8180

2515 E Glenn Ave
Ste 104
Auburn, AL 36830
Phone (334) 821-2256

1907 S College St
Ste 208
Auburn, AL 36832
Phone (334) 649-3399

1636 Mulberry St
Montgomery, AL 36106
Phone (334) 265-3199

935 Highway 431
Ste 1
Roanoke, AL 36274
Phone (334) 799-5853

4 Chambers Sq
Valley, AL 36854
Phone (334) 631-1151

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790721363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FRIENDSHIP RD",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781265",
            "telephone_number": "334-283-8032",
            "fax_number": "334-283-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FRIENDSHIP RD",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781265",
            "telephone_number": "334-283-8032",
            "fax_number": "334-283-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "JUSTIN",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51531618",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "Q57152",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11507998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7981728",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallassee, AL

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.
  • 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.