Individual provider Active NPI

Kylie Sage Crisanti, MD

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
National Provider Identifier
1013658004
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
W3818 Issued in TX
Practice address
3000 N Ih 35 Ste 660
Austin, TX 78705-1851
Phone
(512) 520-8693
Fax
(512) 520-8693
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X W3818 TX Primary

Addresses

Primary practice location

3000 N Ih 35 Ste 660
Austin, TX 78705-1851

Mailing address

3000 N Ih 35 Ste 660
Austin, TX 78705-1851
Phone (512) 520-8693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220624001949 AZ Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 8820477615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: kylie.s.johnson@upmcdirect.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1013658004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N IH 35 STE 660",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051851",
            "telephone_number": "512-520-8693",
            "fax_number": "512-520-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N IH 35 STE 660",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051851",
            "telephone_number": "512-520-8693",
            "fax_number": "512-520-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISANTI",
        "first_name": "KYLIE",
        "middle_name": "SAGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "W3818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.