Crystal Spencer Physical Therapy Services, PLLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

004988 Issued in KY

Legal business name

CRYSTAL SPENCER PHYSICAL THERAPY SERVICES, PLLC

Practice address

196 Blue Ash Dr
Sandy Hook, KY 41171-7094

Phone

(606) 424-0124

NPI assigned

Feb 5, 2016

Last updated

Feb 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Spencer, MSPTNPI 1659578078

Title

Physical Therapist

Phone

(606) 424-0124

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crystal Michelle Spencer, MSPT

  • Physical Therapist
  • Sandy Hook, KY
  • NPI 1659578078
  NPD (past) Authorized official

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1053779017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 BLUE ASH DR",
            "city": "SANDY HOOK",
            "state": "KY",
            "postal_code": "411717094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 BLUE ASH DR",
            "city": "SANDY HOOK",
            "state": "KY",
            "postal_code": "411717094",
            "telephone_number": "606-424-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL SPENCER PHYSICAL THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "606-424-0124",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "004988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Case
• George Edward Chapman III, DO
• Melissa Clevenger
• Wayne Colyer
• Jeremy Cornett
• John Brett Dickerson
• Discount Drug Mart, Inc
• Diversicare Leasing Corp. (Elliott Nursing & Rehabilitation Center)
• Dr. Kimberly a. Buckner, P.L.C.
• Carla Dianne Dyer, DNP, APRN

• Early Intervention Provider Agency in Sandy Hook, KY
• Providers in Sandy Hook, KY by specialty
• Early Intervention Provider Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.