Charles Morris Cribbs II

Individual provider Active NPI Physical Therapist · Weirsdale, FL

NPI 1891972204 · NPPES record last updated Jan 28, 2008

Key facts

NPI
1891972204
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT15182 (FL)
Practice address
14956 SE 140TH Avenue Rd
Weirsdale, FL 32195-2203
Phone
(352) 615-6801
NPI assigned
Jan 28, 2008
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT15182FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy of Central Florida Inc Physical Therapist Past
since Nov 27, 2013
Accepting new patients
Florida First Care, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT15182 FL Yes

Addresses

Primary practice location

14956 SE 140TH Avenue Rd
Weirsdale, FL 32195-2203

Mailing address

14956 SE 140TH Avenue Rd
Weirsdale, FL 32195-2203
Phone (352) 615-6801

Other names

  • Charles Morris Cribbs II Professional name

Other providers in Weirsdale, FL

All providers in Weirsdale, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.