Provider Demographics
NPI:1487732731
Name:CROYTS, JAMES BRIAN (PT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:BRIAN
Last Name:CROYTS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:JIM
Other - Middle Name:BRIAN
Other - Last Name:CROYTS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5017 CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1641
Mailing Address - Country:US
Mailing Address - Phone:614-819-1000
Mailing Address - Fax:614-819-1001
Practice Address - Street 1:5017 CEMETERY RD
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1641
Practice Address - Country:US
Practice Address - Phone:614-819-1000
Practice Address - Fax:614-819-1001
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT009329L225100000X
OHPT005929225100000X
IN05011761A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA191989R9XMedicare Oscar/Certification
OH4308731Medicare Oscar/Certification