Kevin M Crossman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501003422 Issued in MI

Practice address

560 5TH St NW
Suite 404
Grand Rapids, MI 49504-5219

Phone

(616) 356-5000

Fax

(616) 356-5001

NPI assigned

Jun 28, 2006

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

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stanton Crossings Physical Therapy LLC

  • Physical Therapist
  • West Olive, MI
  • NPI 1609802313
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1992733091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 NEW HOLLAND ST",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 5TH ST NW",
            "address_2": "SUITE 404",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045219",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSMAN",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "650E410320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "650G011770",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992733091",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "5501003422",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCR FACILITY NUMBER",
            "identifier": "236850",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Cross
• James Cameron Cross, LMSW
• Jordan Cross
• Jordan Lynn Cross, MA, LLC
• Lauren Nicole Cross
• Crossroads Consulting GR LLC
• Crossroads Home Care Services LLC
• Croswell Podiatry PLLC
• Eduardo R Crotte, MD
• Nora May Nuala Crotty, MD

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.