MEDICARE: DR. CREW MCCARTHY DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2305217150	VA

General Provider Information

NPI Number	:	1134013949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CREW MCCARTHY DPT

Provider Business Mailing Address
First Line	:	7412 AXTON ST
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22151-3204
Country	:	US
Telephone Number	:	703-541-9082
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 N FILLMORE ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-6503
Country	:	US
Telephone Number	:	833-493-4325
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2025
Last Update Date	:	06/05/2025

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