Active NPI
Christopher James Crawley Jr.
- Athletic Trainer
- Pawtucket, RI
National Provider Identifier
1932629482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT00565
- Practice address
- 88 Young St
Pawtucket, RI 02860-4419 - Phone
- (401) 484-2175
- NPI assigned
- Jun 26, 2017
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT00565 | RI | Primary |
Addresses
Primary practice location
88 Young St
Pawtucket, RI 02860-4419
Mailing address
88 Young St
Pawtucket, RI 02860-4419
Phone (401) 484-2175
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT00565 | RI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662163200000",
"number": "1932629482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 YOUNG ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604419",
"telephone_number": "401-484-2175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 YOUNG ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604419",
"telephone_number": "401-484-2175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWLEY",
"first_name": "CHRISTOPHER",
"middle_name": "JAMES",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-26",
"last_updated": "2022-09-03",
"certification_date": "2022-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "RI",
"license": "AT00565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.