Active NPI
Crystal Marie Luxmore, M.A. IN P.T.
- Orthopedic Physical Therapist
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 7162
- Practice address
- 2400 W 64TH St
Minneapolis, MN 55423-1001 - Phone
- (612) 798-8339
- NPI assigned
- Jun 18, 2007
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7162 | MN | |
| Neurology Physical Therapist | 2251N0400X | 7162 | MN | |
| Pediatric Physical Therapist | 2251P0200X | 7162 | MN | |
| Orthopedic Physical Therapist | 2251X0800X | 7162 | MN | Primary |
Addresses
Primary practice location
2400 W 64TH St
Minneapolis, MN 55423-1001
Mailing address
70 Todd St
New Market, MN 55054-5452
Phone (612) 798-8339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17502 Dodd Blvd
Lakeville, MN 55044-5268
Phone (952) 431-7400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7162 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inver Grove Chiropractic P a | Current | Accepting new patients | |
| Family Chiropractic and Wellness, P.a. | Current | Accepting new patients | |
| Fraser | Past | Accepting new patients | |
| Fraser Child and Family Center | Past | Accepting new patients |
Locations
2940 65th St E
Inver Grove Heights, MN 55076
Phone (651) 451-1012
17502 Dodd Blvd
Lakeville, MN 55044
Phone (952) 431-7274
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Olson Family Chiropractic
- Chiropractor
- Lakeville, MN
- NPI 1700073657
-
- Chiropractor
- Inver Grove Heights, MN
- NPI 1194904417
-
- Rehabilitation Clinic/Center
- Richfield, MN
- NPI 1063568574
-
- Adolescent and Children Mental Health Clinic/Center
- Minneapolis, MN
- NPI 1609922194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1063617306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 TODD ST",
"city": "NEW MARKET",
"state": "MN",
"postal_code": "550545452",
"telephone_number": "612-798-8339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 W 64TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554231001",
"telephone_number": "612-798-8339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUXMORE",
"first_name": "CRYSTAL",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "M.A. IN P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7162",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "MN",
"license": "7162",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MN",
"license": "7162",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MN",
"license": "7162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.