Active NPI
Joy Renee Crist, P.T.
- Physical Therapist
- Twin Falls, ID
National Provider Identifier
1114170644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT800
- Practice address
- 560 Shoup Ave W
Twin Falls, ID 83301-5029 - Phone
- (208) 737-2126
- Fax
- (208) 737-2972
- NPI assigned
- Oct 28, 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 | PT800 | Primary |
Addresses
Primary practice location
560 Shoup Ave W
Twin Falls, ID 83301-5029
Mailing address
560 Shoup Ave W
Twin Falls, ID 83301-5029
Phone (208) 737-2126
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 800 | ID | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Magic Valley Regional Medical Center LTD | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Twin Falls, ID
- NPI 1760203921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1114170644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 SHOUP AVE W",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833015029",
"telephone_number": "208-737-2126",
"fax_number": "208-737-2972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 SHOUP AVE W",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833015029",
"telephone_number": "208-737-2126",
"fax_number": "208-737-2972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIST",
"first_name": "JOY",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "PT800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.