Individual provider Active NPI

Crystal C. Ferris, DPT

  • Physical Therapist
  • Covington, LA
National Provider Identifier
1063635803
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
07337R Issued in LA
Practice address
103 Northpark Blvd
Suite 205
Covington, LA 70433-6119
Phone
(985) 871-7878
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 07337R LA Primary

Addresses

Primary practice location

103 Northpark Blvd
Suite 205
Covington, LA 70433-6119

Mailing address

226 South Orchard Lane
Covington, LA 70433-1625

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080422000064 LA Practitioner - Physical Therapist in Private Practice 7214015999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Dynamics LLCGroup PAC ID 5890765929, 5 clinicians

Practice addresses (Care Compare)

476 Falconer Dr
Covington, LA 70433-8235
Phone (985) 871-7878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Dynamics, LLC Physical Therapist CurrentSince Mar 1, 2008 Accepting new patients

Locations

476 Falconer Dr
Covington, LA 70433
Phone (985) 871-7878

330 Falconer Dr
Ste D
Covington, LA 70433
Phone (985) 871-7878

103 Northpark Blvd
Ste 205
Covington, LA 70433
Phone (985) 871-7878

4626 Highway 22
Mandeville, LA 70471
Phone (985) 792-7990

Organizations & group practices 1

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1063635803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 SOUTH ORCHARD LANE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704331625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 NORTHPARK BLVD",
            "address_2": "SUITE 205",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704336119",
            "telephone_number": "985-871-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "CRYSTAL",
        "middle_name": "C.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07337R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.