Individual provider Active NPI

David Lee Cross, PT CRC EDD

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1932262367
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05001687A Issued in IN
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

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
I010338OtherCHAMPUS
351642282OtherOTHER PREFERRED NETWORKS
000000188416OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Verify at the official NPI Registry.