Philip Jay Crum, A.T.,C.
NPI 1306993894ActiveIndividual· Specialist/Technologist, Athletic Trainer· Shelby Township, MI
Specialist/Technologist, Athletic Trainer (A.T.,C.) in Shelby Township, Michigan, licensed in MI, with an NPI issued in January 2007.
Overview
| NPI | 1306993894 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | A.T.,C. |
| Sole proprietor | Yes |
| NPI issued | Jan 5, 2007 |
| Last updated in NPPES | Mar 16, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | L488935 | MI |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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