Healthcare Provider Details

I. General information

NPI: 1841101359
Provider Name (Legal Business Name): NICHOLAS CROW PT, DPT, OCS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8100 SW 10TH ST STE 1450
PLANTATION FL
33324-3277
US

IV. Provider business mailing address

4274 E SENECA AVE
WESTON FL
33332-2446
US

V. Phone/Fax

Practice location:
  • Phone: 305-689-5635
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT40608
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: