Active NPI
Jennifer L Craig
- Physical Therapist
- Oak Harbor, WA
National Provider Identifier
1952740540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1218990
- Practice address
- 3475 N Saratoga St Naval Health Clinic Oak Harbor
Oak Harbor, WA 98278-0001 - Phone
- (360) 257-9663
- NPI assigned
- Jun 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 1218990 | TX | Primary |
Addresses
Primary practice location
3475 N Saratoga St Naval Health Clinic Oak Harbor
Oak Harbor, WA 98278-0001
Mailing address
441 Bezdek Dr NW
Cedar Rapids, IA 52405-3473
Phone (319) 361-5620
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 |
|---|---|---|---|
| 1218990 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1952740540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 BEZDEK DR NW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524053473",
"telephone_number": "319-361-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3475 N SARATOGA ST NAVAL HEALTH CLINIC OAK HARBOR",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982780001",
"telephone_number": "360-257-9663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "JENNIFER",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-18",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1218990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.