Rodney Christian Crocker, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA9598 Issued in AL

Practice address

5057 Pinnacle SQ
Birmingham, AL 35235-3216

Phone

(205) 655-9222

Fax

(205) 655-9233

NPI assigned

Oct 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1871136846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 PRESIDENTS DR",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368621",
            "telephone_number": "717-839-2159",
            "fax_number": "717-565-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5057 PINNACLE SQ",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353216",
            "telephone_number": "205-655-9222",
            "fax_number": "205-655-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "RODNEY",
        "middle_name": "CHRISTIAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA9598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Delaney Crocker, AUD
• Cassie Crocker
• Jordan Harper Crocker, M.D.
• Mary Alice Crocker, MD
• Maureen Crocker, P.T.
• Kaylee B Crockett, PHD
• Kristy L Cromblin, MD
• Mark Cromer
• Randall Q Cron, M.D.
• Mary A Cronin, CRNP

• Physical Therapy Assistant in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Physical Therapy Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.