Kelli Crisp, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1360413 Issued in TX

Practice address

160 W Magnolia Ave Ste 2
Fort Worth, TX 76104-7613

Phone

(817) 335-7946

Fax

(817) 335-7947

NPI assigned

Jul 7, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sportherapy LLC

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1386132132

  Physical Therapist

  NPD
• Sportherapy Southwest, PC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Fort Worth, TX
  • NPI 1801812698

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1194458141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W MAGNOLIA AVE STE 2",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047613",
            "telephone_number": "817-335-7946",
            "fax_number": "817-335-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W MAGNOLIA AVE STE 2",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047613",
            "telephone_number": "817-335-7946",
            "fax_number": "817-335-7947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11909 Preston Rd Ste 1482",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752306114",
            "country_code": "US",
            "telephone_number": "214-466-1601",
            "fax_number": "217-377-7602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISP",
        "first_name": "KELLI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1360413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michanda Crim, BT
• Randall David Crim, MD
• Ella McKay Crimmings, LMSW
• Catherine Crimmins
• Linzi Crisafulli, PT, DPT
• Michelle Criss, AGACNP-BC
• Samuel Crist, MD
• Taylor Evan Crist
• Cristela Flores Serenity Hospice LLC
• Ricardo Cristobal, M.D.

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.