Active NPI
Justin B Crain, RPT
- Physical Therapist
- Tallassee, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH4404
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51531618 | Other | AL | BLUE CROSS BLUE SHIELD |
| Q57152 | Other | AL | UPIN |
| 11507998 | Other | CAQH | |
| 7981728 | Other | AL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Rehab Solutions LLC | Physical Therapist | Current | Accepting new patients |
| Total Rehab, Inc | Physical Therapist | Current | Accepting new patients |
| Elite Rehab Inc | Physical Therapist | Current | Accepting new patients |
| Elite Rehab Solutions Partners LLC | Physical Therapist | Current | Accepting new patients |
| Elite Pediatric Solutions LLC | Physical Therapist | Current | Accepting new patients |
| Elite Rehab Inc | Physical Therapist | Current | Accepting new patients |
| Bay Minette Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Champion Rehab Resources, LLC | Physical Therapist | Past | Accepting new patients |
| Tallassee Rehab | Physical Therapist | Past | Accepting new patients |
| Dadeville Sports Medicine & Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Butler Holdings Company LLC | Past | 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.
-
- Physical Therapist
- Roanoke, AL
- NPI 1518361294
-
- Physical Therapist
- Alexander City, AL
- NPI 1770121741
-
- Physical Therapist
- Auburn, AL
- NPI 1952757650
-
- Physical Therapist
- Valley, AL
- NPI 1316594732
-
- Physical Therapist
- Bay Minette, AL
- NPI 1235092628
-
- Physical Therapist
- Madison, AL
- NPI 1700693041
-
- Chiropractor
- Auburn, AL
- NPI 1891516795
-
- Physical Therapist
- Vestavia, AL
- NPI 1003437906
-
- Physical Therapy Clinic/Center
- Alexander City, AL
- NPI 1699895490
Physical Therapist
-
- Physical Therapist
- Tuskegee, AL
- NPI 1912055690
-
- Physical Therapist
- Tallassee, AL
- NPI 1750312849
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.