Donna Louise Crikos, RPT
Individual provider Active NPI Physical Therapist · Fort Bragg, CA
NPI 1891799797 · NPPES record last updated Oct 22, 2007
Key facts
- NPI
- 1891799797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT11908 (CA)
- Practice address
- 121 Boatyard Dr
Ste a
Fort Bragg, CA 95437-5751 - Phone
- (707) 964-1208
- Fax
- (707) 964-2269
- NPI assigned
- Jun 8, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT11908 | CA | Yes |
Addresses
Primary practice location
121 Boatyard Dr
Ste a
Fort Bragg, CA 95437-5751
Mailing address
PO Box 2740
Fort Bragg, CA 95437-2740
Phone (707) 964-6848
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT0119080 | Medicaid | CA |
Other providers in Fort Bragg, CA
- John Ernest Cottle Jr.
- County of Mendocino
- County of Mendocino
- Courtney Morgan Cravens
- Sean Crawford
- Cynthia Audo
- Andrea D'Souza
- Edgar Damian
- Brandyn Alisa Davis
- Hallie J Davrill
All providers in Fort Bragg, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.