Active NPI
Jason Alexander Craig, MCSP, DPHIL, PT
- Physical Therapist
- Bowie, MD
National Provider Identifier
1801154299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22368
- Practice address
- 17000 Science Dr
Suite 104
Bowie, MD 20715-4420 - Phone
- (301) 860-0237
- NPI assigned
- Apr 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 22368 | MD | Primary |
Addresses
Primary practice location
17000 Science Dr
Suite 104
Bowie, MD 20715-4420
Mailing address
2928 Stonybrook Dr
Bowie, MD 20715-2233
Phone (301) 906-9974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22368 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shorter Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Excel Physical Therapy
- Physical Therapist
- Dunkirk, MD
- NPI 1073732632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335225600000",
"number": "1801154299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2928 STONYBROOK DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207152233",
"telephone_number": "301-906-9974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17000 SCIENCE DR",
"address_2": "SUITE 104",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154420",
"telephone_number": "301-860-0237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "JASON",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "MCSP, DPHIL, PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-24",
"last_updated": "2012-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.