1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Physical Therapist
  6. NPI Profile
  7. NPI Record 1568169548

ADDISON MCCRAW
Complete NPI Record 1568169548
Physical Therapist in Charlotte, NC

NPI Status: Active since February 10, 2023

Contact Information

10012 BENFIELD RD STE 305
CHARLOTTE, NC
ZIP 28269
Phone: (704) 274-9133
Fax: (704) 727-5224

Get Directions

Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider Business Mailing Address Telephone Number
  11. Provider First Line Business Practice Location Address
  12. Provider Business Practice Location Address City Name
  13. Provider Business Practice Location Address State Name
  14. Provider Business Practice Location Address Postal Code
  15. Provider Business Practice Location Address Country Code If outside U S
  16. Provider Business Practice Location Address Telephone Number
  17. Provider Business Practice Location Address Fax Number
  18. Provider Enumeration Date
  19. Last Update Date
  20. Provider Gender Code
  21. Healthcare Provider Taxonomy Code 1
  22. Healthcare Provider Primary Taxonomy Switch 1
  23. Is Sole Proprietor
  24. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1568169548. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1568169548
The city name in the mailing address of the provider being identified.
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: ADDISON
The first name of the provider, if the provider is an individual.
Provider First Line Business Mailing Address: 1200 CORPORATE DR STE 400
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: HOOVER
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: AL
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 352425424
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 4235580076
The telephone number associated with the location address of the provider being identified.
Provider First Line Business Practice Location Address: 10012 BENFIELD RD STE 305
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Practice Location Address City Name: CHARLOTTE
The date that a record was last updated or changed.
Provider Business Practice Location Address State Name: NC
The code designating the provider’s gender if the provider is a person.
Provider Business Practice Location Address Postal Code: 282698817
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 7042749133
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 7047275224
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 2/10/2023
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 2/10/2023
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 225100000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
NPI Certification Date: 2/10/2023