Individual provider Active NPI

Anthony J. Criscuolo, D.C.

  • Sports Physician Chiropractor
  • Heath, TX
National Provider Identifier
1801965363
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
16488 Issued in TX
Practice address
209 Hubbard Dr
Heath, TX 75032-8695
Phone
(945) 305-1950
NPI assigned
Nov 7, 2006
Last updated
May 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 16488 TX Primary

Addresses

Primary practice location

209 Hubbard Dr
Heath, TX 75032-8695

Mailing address

209 Hubbard Dr
Heath, TX 75032-8695
Phone (945) 305-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050202000668 NJ Practitioner - Chiropractic 9234180704 Practice locations: Wall Township, NJ
I20260508002158 TX Practitioner - Chiropractic 9234180704 Practice locations: Heath, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

209 Hubbard Dr
Suite 1
Heath, TX 75032-8695
Phone (945) 305-1950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16488TXMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Release & Chiropractic Center LLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

3350 Highway 138
Ste 227
Wall Township, NJ 07719
Phone (732) 280-1800

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, 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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1801965363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 HUBBARD DR",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750328695",
            "telephone_number": "945-305-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 HUBBARD DR",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750328695",
            "telephone_number": "945-305-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISCUOLO",
        "first_name": "ANTHONY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "16488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heath, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.