Individual provider Active NPI

Donald J Crochet, R.P.T.

  • Orthopedic Physical Therapist
  • Decatur, GA
National Provider Identifier
1972539880
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT001563 Issued in GA
Practice address
1382 Scott Blvd
Suite a
Decatur, GA 30030-1421
Phone
(404) 377-1223
Fax
(404) 378-4048
NPI assigned
Jun 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT001563 GA Primary

Addresses

Primary practice location

1382 Scott Blvd
Suite a
Decatur, GA 30030-1421

Mailing address

1382 Scott Blvd
Suite a
Decatur, GA 30030-1421
Phone (404) 377-1223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110906000466 GA Practitioner - Physical Therapist in Private Practice 0244400059 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Decatur, GA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crochet Physical Therapy LLCGroup PAC ID 9638544083, 4 clinicians

Practice addresses (Care Compare)

1382 Scott Blvd
Suite a
Decatur, GA 30030-1461
Phone (404) 377-1223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001563GAMDFamily Medicine Physician
PT001563GAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crochet Physical Therapy LLC Orthopedic CurrentSince Apr 1, 2023 Accepting new patients

Locations

1382 Scott Blvd
Ste A
Decatur, GA 30030
Phone (404) 337-1223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972539880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 SCOTT BLVD",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301421",
            "telephone_number": "404-377-1223",
            "fax_number": "404-378-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 SCOTT BLVD",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301421",
            "telephone_number": "404-377-1223",
            "fax_number": "404-378-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCHET",
        "first_name": "DONALD",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT001563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.