Individual provider Active NPI

Charles Crawford, PTA

  • Physical Therapy Assistant
  • Clifton Park, NY
National Provider Identifier
1891326419
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
012397 Issued in NY
Practice address
1 Abele Dr
Clifton Park, NY 12065-2951
Phone
(518) 371-1400
NPI assigned
Feb 1, 2020
Last updated
Feb 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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 012397 NY Primary

Addresses

Primary practice location

1 Abele Dr
Clifton Park, NY 12065-2951

Mailing address

146 Country VW
Arlington, VT 05250-8817
Phone (802) 375-6997

Other practice location 1

421 Columbia St
Cohoes, NY 12047-2217
Phone (518) 237-5630

Other practice location 2

2920 Tibbits Ave
Troy, NY 12180-7077
Phone (518) 274-4125

Other practice location 3

301 Hackett Blvd
Albany, NY 12208-1963
Phone (518) 525-7600

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
012397NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1580515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1891326419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 COUNTRY VW",
            "city": "ARLINGTON",
            "state": "VT",
            "postal_code": "052508817",
            "telephone_number": "802-375-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ABELE DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652951",
            "telephone_number": "518-371-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Columbia St",
            "address_purpose": "LOCATION",
            "city": "Cohoes",
            "state": "NY",
            "postal_code": "120472217",
            "country_code": "US",
            "telephone_number": "518-237-5630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2920 Tibbits Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121807077",
            "country_code": "US",
            "telephone_number": "518-274-4125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Hackett Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081963",
            "country_code": "US",
            "telephone_number": "518-525-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "CHARLES",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-01",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "012397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.