CHARLES EDWARD CROCKATT (DPT) – Physical Therapist, NPI 1760039689

CHARLES EDWARD CROCKATT (DPT) is a healthcare provider. based in Cadillac, Michigan. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. 5501019303 (MI). The NPI Number for CHARLES EDWARD CROCKATT (DPT) is 1760039689

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES EDWARD CROCKATT (DPT)
NPI
1760039689
Phone
(231) 876-0010
Address
8872 PROFESSIONAL DR STE C
Enumeration Date
26 August 2019
Last Update Date
26 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2318760010
Graduation Year
2019 (7 years ago)
PAC ID
9739410200
Group Practice PAC ID
8628986643
Professional Enrollment ID
I20191015000111
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

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Provider Addresses for CHARLES EDWARD CROCKATT (DPT)

  • Professional Drive, Clam Lake Township, Wexford County, Michigan, United States

    CADILLAC, MI 496018482

    Phone: (231) 876-0010

    Fax: (231) 876-1246

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628986643View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

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Frequently asked questions

What is the registry number for CHARLES EDWARD CROCKATT (DPT)?
The registry entry for CHARLES EDWARD CROCKATT (DPT) shows NPI 1760039689.
Does the public listing show CHARLES EDWARD CROCKATT (DPT) as active?
CHARLES EDWARD CROCKATT (DPT)'s NPI record reflects an active status in NPPES.
How should patients interpret CHARLES EDWARD CROCKATT (DPT)'s specialty?
The extract shows Physical Therapist for CHARLES EDWARD CROCKATT (DPT). Clinical services aligned with this taxonomy classification.
Can patients visit CHARLES EDWARD CROCKATT (DPT) in Cadillac, Michigan?
For routing, start with Cadillac, Michigan for CHARLES EDWARD CROCKATT (DPT), then verify phone and hours locally.
Who maintains CHARLES EDWARD CROCKATT (DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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