James Crockett, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH8791 Issued in AL

Practice address

512 N Shady LN
Dothan, AL 36303-2991

Phone

(334) 699-5747

NPI assigned

Feb 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Alabama School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hughston Clinic PCGroup PAC ID 1355254780, 111 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: james.crockett.1@321.direct.athenahealth.com

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.

• Hughston Clinic, P.C.

  • Orthopaedic Surgery Physician
  • Columbus, GA
  • NPI 1164461190

  AL

  Medicare reassignment Care Compare group NPD
• Hughston Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • Newnan, GA
  • NPI 1902682347
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1972003408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N SHADY LN",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032991",
            "telephone_number": "334-699-5747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 W Main St Ste 14",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363051311",
            "country_code": "US",
            "telephone_number": "334-944-7010",
            "fax_number": "334-944-7014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-21",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Patrick Crenshaw, MD
• Critical Rehab Corporation
• Jeffrey John Crittenden, MD
• Edward Franklin Crockett III
• Frank T. Crockett, M.D.
• Jamie Croley
• Towanna Shea Crooms, CRNP
• Charles N Crowder, DMD, MPH, MS
• Kristen Flowers Crowder, DMD
• Shanda Leeann Crowe, MS, RDN, LDN

• Physical Therapist in Dothan, AL
• Providers in Dothan, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.