Active NPI
Crystal Rose Thomas, PT, DPT
- Physical Therapist
- La Junta, CO
National Provider Identifier
1093964348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10026
- Practice address
- 1100 Carson Ave
La Junta, CO 81050-2751 - Phone
- (719) 383-6450
- NPI assigned
- Sep 11, 2008
- 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 | 10026 | CO | Primary |
Addresses
Primary practice location
1100 Carson Ave
La Junta, CO 81050-2751
Mailing address
6 College CT
La Junta, CO 81050-3265
Phone (720) 933-6041
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 |
|---|---|---|---|
| 10026 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221091200000",
"number": "1093964348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 COLLEGE CT",
"city": "LA JUNTA",
"state": "CO",
"postal_code": "810503265",
"telephone_number": "720-933-6041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CARSON AVE",
"city": "LA JUNTA",
"state": "CO",
"postal_code": "810502751",
"telephone_number": "719-383-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "CRYSTAL",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2008-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "10026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Junta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.