Individual provider Active NPI

Crystal McMahon, PT, DPT

  • Physical Therapist
  • Clovis, CA
National Provider Identifier
1003224072
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41813 Issued in CA
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

Updated by the provider on Jul 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150623003117 CA Practitioner - Physical Therapist in Private Practice 1951612548 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
41813CAMDMarriage & Family Therapist
10057TNMDPhysical Therapist
1245138TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Rehabilitation & Orthopedic Physical Therapy Inc Physical Therapist CurrentSince Jun 25, 2021 Accepting new patients
Precision Rehabilitation & Orthopedic Physical Therapy Inc Physical Therapist CurrentSince Jun 25, 2021 Accepting new patients
South County Physical Therapy & Rehabilitation Center, Inc. Physical Therapist PastSince Jun 10, 2009 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.

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.

Verify at the official NPI Registry.