Active NPI
Crystal Ann Periot, DPT
- Physical Therapist
- Redmond, WA
National Provider Identifier
1083962773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60051914
- Practice address
- 8851 166TH Ave NE
#A301
Redmond, WA 98052-3769 - Phone
- (425) 941-1756
- NPI assigned
- Aug 28, 2012
- 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 Therapist | 225100000X | PT60051914 | WA | Primary |
Addresses
Primary practice location
8851 166TH Ave NE
#A301
Redmond, WA 98052-3769
Mailing address
8851 166TH Ave NE
#A301
Redmond, WA 98052-3769
Phone (425) 941-1756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60051914 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1083962773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8851 166TH AVE NE",
"address_2": "#A301",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523769",
"telephone_number": "425-941-1756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8851 166TH AVE NE",
"address_2": "#A301",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523769",
"telephone_number": "425-941-1756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERIOT",
"first_name": "CRYSTAL",
"middle_name": "ANN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60051914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.