Dr Chad Luckett Crossley, PT, DPT, MS, OCS, AT | |
90 Hope Dr, Mountain Home Afb, ID 83648 | |
(412) 432-3700 | |
Not Available |
Full Name | Dr Chad Luckett Crossley |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 16 Years |
Location | 90 Hope Dr, Mountain Home Afb, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457517112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT019425 (Pennsylvania) | Secondary |
225100000X | Physical Therapist | 9743PT (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain Home Physical Therapy Pc | 8224026539 | 2 |
Provider Name | Mountain Home Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134251507 PECOS PAC ID: 8224026539 Enrollment ID: O20040505000350 |
Mailing Address | Practice Location Address |
---|---|
Dr Chad Luckett Crossley, PT, DPT, MS, OCS, AT 901 Ne Tanager St, Mountain Home, ID 83647-4801 Ph: (412) 478-2212 | Dr Chad Luckett Crossley, PT, DPT, MS, OCS, AT 90 Hope Dr, Mountain Home Afb, ID 83648 Ph: (412) 432-3700 |
Mr. John M. Wade, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648 Phone: 208-828-2175 | |
Nicole Larson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648 Phone: 480-829-0217 | |
Teagan Ferguson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 Phone: 208-828-4626 | |
Dr. Jeff David Walker, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 Phone: 208-828-4626 | |
Joseph Richard Perry, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648 Phone: 208-828-7900 |