Healthcare Provider Details

I. General information

NPI: 1487598371
Provider Name (Legal Business Name): JOSH CRAWFORD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2016 OAK DR
BALTIMORE MD
21207-6659
US

IV. Provider business mailing address

2016 OAK DR
BALTIMORE MD
21207-6659
US

V. Phone/Fax

Practice location:
  • Phone: 410-926-8402
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA4970
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: