Active NPI
David Lee Cross, PT CRC EDD
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1932262367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05001687A
- Practice address
- 8330 Naab Road
Suite 311 Indianapolis Rehabilitation Agency
Indianapolis, IN 46260-1932 - Phone
- (317) 872-1501
- Fax
- (317) 872-1507
- NPI assigned
- Dec 18, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05001687A | IN | Primary |
Addresses
Primary practice location
8330 Naab Road
Suite 311 Indianapolis Rehabilitation Agency
Indianapolis, IN 46260-1932
Mailing address
8330 Naab Road
Suite 311
Indianapolis, IN 46260-1932
Phone (317) 872-1501
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I010338 | Other | CHAMPUS | |
| 351642282 | Other | OTHER PREFERRED NETWORKS | |
| 000000188416 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170203000870 | IN | Practitioner - Physical Therapist in Private Practice | 5597048223 | Practice locations: Indianapolis, IN |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8330 Naab Rd
Suite 311
Indianapolis, IN 46260-1932
Phone (317) 872-1501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1932262367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8330 NAAB ROAD",
"address_2": "SUITE 311",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601932",
"telephone_number": "317-872-1501",
"fax_number": "317-872-1507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8330 NAAB ROAD",
"address_2": "SUITE 311 INDIANAPOLIS REHABILITATION AGENCY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601932",
"telephone_number": "317-872-1501",
"fax_number": "317-872-1507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "DAVID",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PT CRC EDD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05001687A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "I010338",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER PREFERRED NETWORKS",
"identifier": "351642282",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000188416",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.