Active NPI
Timothy J Crunk, PT
- Orthopedic Physical Therapist
- Greer, SC
National Provider Identifier
1891743787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 5100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crunk Physical Therapy | Orthopedic | Current | 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.
-
- Orthopedic Physical Therapist
- Greer, SC
- NPI 1659314532
-
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1417993189
-
- Physical Therapist
- Newark, DE
- NPI 1609807577
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.