Provider Demographics
NPI:1285114611
Name:CROSBY, ANN P (PT)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:P
Last Name:CROSBY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:588 MOUNTAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-3022
Mailing Address - Country:US
Mailing Address - Phone:781-201-9132
Mailing Address - Fax:
Practice Address - Street 1:30 PLAYSTEAD RD UNIT 1
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-2125
Practice Address - Country:US
Practice Address - Phone:617-306-6519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI45402251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAS14254597OtherDRIVER LICENSE