Active NPI
Kylie Sage Crisanti, MD
- Physical Medicine & Rehabilitation Physician
- Austin, TX
National Provider Identifier
1013658004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- W3818
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220624001949 | AZ | Order and Referring Only - Internal Medicine | 8820477615 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.