Crystal Laidley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36568 Issued in FL

Practice address

1200 Lexington Green LN
Sanford, FL 32771-1013

Phone

(407) 322-3442

Fax

(407) 322-8404

NPI assigned

Nov 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dedicated Physical Therapy and Wellness LLCGroup PAC ID 1153727169, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Dedicated Physical Therapy and Wellness LLC

  • Physical Therapist
  • Winter Garden, FL
  • NPI 1346819869
  Medicare reassignment Care Compare group NPD
• Stern at Home Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
  • NPI 1720563380

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1134720048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BROAD ST STE 203",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613006",
            "telephone_number": "407-322-3442",
            "fax_number": "407-322-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LEXINGTON GREEN LN",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711013",
            "telephone_number": "407-322-3442",
            "fax_number": "407-322-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIDLEY",
        "first_name": "CRYSTAL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Suzette Krogh, ARNP
• Kristen Krumeich, ED.D. CCC SLP
• KSC Adult Care Services
• Kathan Kumar, MD
• Donna L Lachman
• Lake Family Medicine & Imaging
• Lake Forest Endodontics, PA
• Lake Mary Physical Therapy, Inc.
• Lake Mary Spine & Rehabilitation Center
• Lake Monroe Anesthesia Associates PL

• Physical Therapist in Sanford, FL
• Providers in Sanford, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.