Individual provider Active NPI

Timothy J Crunk, PT

  • Orthopedic Physical Therapist
  • Greer, SC
National Provider Identifier
1891743787
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5100 Issued in SC
Practice address
105A Regency Commons Dr
Greer, SC 29650-5210
Phone
(864) 373-9520
Fax
(864) 373-9522
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5100 SC Primary

Addresses

Primary practice location

105A Regency Commons Dr
Greer, SC 29650-5210

Mailing address

105A Regency Commons Dr
Greer, SC 29650-5210
Phone (864) 373-9520

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Crunk Physical Therapy Orthopedic CurrentSince Oct 12, 2005 Accepting new patients
Christiana Care Health Initiatives Past Accepting new patients
Christiana Care Health Initiatives, Inc Past Accepting new patients

Locations

105 Regency Commons Dr
#A
Greer, SC 29650
Phone (864) 284-0056

105A Regency Commons Dr
Greer, SC 29650
Phone (864) 373-9520

Organizations & group practices 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1891743787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105A REGENCY COMMONS DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505210",
            "telephone_number": "864-373-9520",
            "fax_number": "864-373-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105A REGENCY COMMONS DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505210",
            "telephone_number": "864-373-9520",
            "fax_number": "864-373-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUNK",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "5100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.