Krystall Allender, MA68763

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA68763 Issued in WA

Practice address

2706 SW 3Rd Ave
Cape Coral, FL 33914-4426

Phone

(360) 250-1907

NPI assigned

Sep 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1093329286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 SW 3RD AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144426",
            "telephone_number": "360-250-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 SW 3RD AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144426",
            "telephone_number": "360-250-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLENDER",
        "first_name": "KRYSTALL",
        "name_prefix": "Miss",
        "credential": "MA68763",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA68763",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA68763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Zeel",
            "affiliation": "N",
            "endpointDescription": "Massage",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Massage",
            "address_1": "45 W 45th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100364602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• All Metro Home Care Services of Florida, Inc.
• All Star Medical Group Corp
• All You Need Home Health LLC
• Cheryl Marye Allen, MS, LPCC-S
• Luzmary Allen, D.O
• Allied Family Health LLC
• Allied Medical of SW Florida Inc.
• Allied Medical of SW Florida Inc.
• Allied Physical Therapy, P.a.
• Edmond J Allison, DMD

• Massage Therapist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.