Active NPI
Crysonna R. Prebble, P.T.
- Physical Therapist
- Rockville, MD
National Provider Identifier
1174810410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20396
- Practice address
- 30 West Gude Drive
Suite 160
Rockville, MD 20850 - Phone
- (301) 251-3757
- Fax
- (301) 251-3731
- NPI assigned
- Jul 7, 2011
- Last updated
- Jul 7, 2011
- 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 | 20396 | MD | Primary |
Addresses
Primary practice location
30 West Gude Drive
Suite 160
Rockville, MD 20850
Mailing address
51 Monroe Street
Suite 1207
Rockville, MD 20850
Phone (301) 838-2040
Other names 1
- Crysonna R. Lindsley
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 |
|---|---|---|---|
| 20396 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab at Work, Corp. | Physical Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1174810410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 MONROE STREET",
"address_2": "SUITE 1207",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20850",
"telephone_number": "301-838-2040",
"fax_number": "301-838-2041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 WEST GUDE DRIVE",
"address_2": "SUITE 160",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20850",
"telephone_number": "301-251-3757",
"fax_number": "301-251-3731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREBBLE",
"first_name": "CRYSONNA",
"middle_name": "R.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "20396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSONNA",
"last_name": "LINDSLEY",
"middle_name": "R.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.