Crystal Marie Minnick, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI002563 Issued in PA

Practice address

401 Hazle Township Blvd
Hazle Township, PA 18202-9661

Phone

(570) 454-8888

NPI assigned

Nov 5, 2013

Sex

Female

Sole proprietor

No

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.

• Advanced Inpatient Medicine Transitional Care PC

  • Internal Medicine Physician
  • Wilkes Barre, PA
  • NPI 1609247030
  NPD (past)
• Berwick Clinic Company LLC

  • Family Medicine Physician
  • Berwick, PA
  • NPI 1184793127
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1704/brand/1/csg/81/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2013.

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1134558711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SAND SPRING RD",
            "city": "WEATHERLY",
            "state": "PA",
            "postal_code": "182553801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HAZLE TOWNSHIP BLVD",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182029661",
            "telephone_number": "570-454-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNICK",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI002563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle McCune
• Rebecca McMahon, MS
• MH Health Care Services, PC
• Miranda Miller
• Richard Clayton Miller, M.D.
• Ayse K Mohyuddin, MD
• Alexsandra K Motroni, MD
• Mountain City Nursing & Rehabilitation Center, LLC
• Mountain View Orthopaedics & Associates, PC
• Mountaintop Pediatrics PC

• All providers in Hazle Township, PA
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.