Crystal Renee Taylor, CTRS

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

67206 Issued in NC

Practice address

45629 Mandalay Cir
Utica, MI 48315-6843

Phone

(252) 315-9890

NPI assigned

Aug 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Majestic Therapies LLC

  • Child Mental Illness Respite Care
  • Utica, MI
  • NPI 1821682675

  Recreation Therapist

  NPD Authorized official

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

{
    "created_epoch": "1534032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1073092847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 LEGACY BLVD APT 727",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788522609",
            "telephone_number": "252-315-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45629 MANDALAY CIR",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483156843",
            "telephone_number": "252-315-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CRYSTAL",
        "middle_name": "RENEE",
        "credential": "CTRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-12",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "NC",
            "license": "67206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Solomon
• Artemis Stanisz, LPC
• Gary Stencel, M.D.
• Stories Unfold Counseling Services LLC
• Elizabeth M Strong, LMSW
• Thomas W. Schmidt D.D.S.,P.C.
• Amanda Marie Thomas, MA, LPC
• Basiliki Evelyn Tomaras, O.D.
• Tomas a Macatangay
• Brian A Torok, MD

• Recreation Therapist in Utica, MI
• Providers in Utica, MI by specialty
• Recreation Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.