Crutcher Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2611 Issued in CO

Legal business name

CRUTCHER PHYSICAL THERAPY LLC

Practice address

1239 Tyler PL
Erie, CO 80516-6931

Phone

(303) 641-8721

Fax

(720) 707-1630

NPI assigned

Mar 24, 2007

Organization subpart

No

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

Authorized official

Name

Melissa W Crutcher, PTNPI 1407973365

Title

Owner

Phone

(303) 641-8721

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Walworth Crutcher, PT

  • Physical Therapist
  • Erie, CO
  • NPI 1407973365
  NPD Authorized official

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1861519720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 TYLER PL",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805166931",
            "telephone_number": "303-641-8721",
            "fax_number": "720-707-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 TYLER PL",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805166931",
            "telephone_number": "303-641-8721",
            "fax_number": "720-707-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUTCHER PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "CRUTCHER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-641-8721",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "2611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72704322",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Jerome Coyle Jr., M.D.
• CPTN Prime
• Sophie Crawford
• Samantha Nicole Crist, BCBA
• Susan Elizabeth Cruse, MD
• Melissa Walworth Crutcher, PT
• Rebecca Rachel Cruz, NBC-HWC
• Rebecca Leigh Cupps, OTR
• Hayli Curry
• Richard Eric Day, D.C.

• Physical Therapy Clinic/Center in Erie, CO
• Providers in Erie, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.