Provider Demographics
NPI:1245297043
Name:CRAWFORD, JAMES PATRICK (PT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PATRICK
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:235 HIGHLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14223-1407
Mailing Address - Country:US
Mailing Address - Phone:716-873-7263
Mailing Address - Fax:716-873-7290
Practice Address - Street 1:235 HIGHLAND PKWY
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14223-1407
Practice Address - Country:US
Practice Address - Phone:716-873-7263
Practice Address - Fax:716-873-7290
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010161-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY9306623OtherINDEPENDENT HEALTH
NY00027448701OtherUNIVERA HEALTH CARE
NY000611257004OtherBLUE CROSS & BLUE SHIELD
NY804260OtherMANAGED PHYSICAL NETWORK
NYRA9599Medicare ID - Type Unspecified