Crystal Konrady

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

73287 Issued in CA

Practice address

4640 Del Amo Blvd
Torrance, CA 90503-1939

Phone

(310) 800-1418

NPI assigned

Dec 11, 2023

Sex

Female

Sole proprietor

Yes

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)

Not 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.

• Back on Point Wellness Dr. Kim Chiropractic, Inc.

  • Chiropractor
  • Torrance, CA
  • NPI 1467825299

  Massage Therapist

  NPD

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1194592956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24035 OCEAN AVE APT 26",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056429",
            "telephone_number": "424-222-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 DEL AMO BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031939",
            "telephone_number": "310-800-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONRADY",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "73287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jo Komada, L.AC.
• Samuel David Komsa
• Dana Konecny, MD
• Polin Kong
• Derek Kono, DO
• Alec Sandy Koo, M.D.
• Madeline Anne Koontz, PT, DPT
• Joel D. Kopple, M.D.
• Robert Korhonen
• Abraham Korn, MD

• All providers in Torrance, CA
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.