Active NPI
Crystal McMahon, PT, DPT
- Physical Therapist
- Clovis, CA
National Provider Identifier
1003224072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 41813
- Practice address
- 606 N Magnolia Ave
Clovis, CA 93611-9206 - Phone
- (559) 321-8162
- Fax
- (559) 472-3559
- NPI assigned
- Jul 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1245138 | TX | |
| Physical Therapist | 225100000X | 10057 | TN | |
| Physical Therapist | 225100000X | 41813 | CA | Primary |
Addresses
Primary practice location
606 N Magnolia Ave
Clovis, CA 93611-9206
Mailing address
701 W Center Ave
Visalia, CA 93291-6015
Phone (559) 713-6806
Other names 1
- Crystal Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
606 N Magnolia Ave
Clovis, CA 93611-9206
Phone (559) 321-8162
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41813 | CA | MD | Marriage & Family Therapist |
| 10057 | TN | MD | Physical Therapist |
| 1245138 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Rehabilitation & Orthopedic Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Precision Rehabilitation & Orthopedic Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| South County Physical Therapy & Rehabilitation Center, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
606 N Magnolia Ave
Clovis, CA 93611
Phone (559) 321-8162
1870 S Central St
Visalia, CA 93277
Phone (559) 636-1200
701 W Center Ave
Visalia, CA 93291
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Visalia, CA
- NPI 1275564296
Physical Therapist
-
- Specialist
- Tulare, CA
- NPI 1972128320
Physical Therapist
-
- Physical Therapist
- Port Arthur, TX
- NPI 1881871861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1003224072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W CENTER AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916015",
"telephone_number": "559-713-6806",
"fax_number": "559-713-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 N MAGNOLIA AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936119206",
"telephone_number": "559-321-8162",
"fax_number": "559-472-3559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "CRYSTAL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-23",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1245138",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "10057",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "41813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "SMITH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.