Individual provider Active NPI

Misty M Craig, PTA

  • Physical Therapy Assistant
  • Tallmadge, OH
National Provider Identifier
1891018404
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
OH10183 Issued in OH
Practice address
161 Northwest Ave Ste 104
Tallmadge, OH 44278-1850
Phone
(330) 630-1860
Fax
(330) 630-3198
NPI assigned
Mar 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X OH10183 OH Primary

Addresses

Primary practice location

161 Northwest Ave Ste 104
Tallmadge, OH 44278-1850

Mailing address

PO Box 6062
Akron, OH 44312-0062
Phone (330) 630-1860

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

LicenseStateTypeSpecialty
OH10183OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
PRN Therapy Services, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1891018404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6062",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443120062",
            "telephone_number": "330-630-1860",
            "fax_number": "330-630-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 NORTHWEST AVE STE 104",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781850",
            "telephone_number": "330-630-1860",
            "fax_number": "330-630-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "MISTY",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "OH10183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.