Active NPI
Crystal Stevens, LPT
- Orthopedic Physical Therapist
- Louisville, KY
National Provider Identifier
1205998630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 004317
- Practice address
- 9300 Stonestreet Rd
Suite 400
Louisville, KY 40272-2876 - Phone
- (502) 935-9776
- Fax
- (502) 935-9813
- NPI assigned
- Dec 14, 2006
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 004317 | KY | Primary |
Addresses
Primary practice location
9300 Stonestreet Rd
Suite 400
Louisville, KY 40272-2876
Mailing address
9300 Stonestreet Rd
Suite 400
Louisville, KY 40272-2876
Phone (502) 935-9776
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000346353 | Other | KY | ANTHEM BLUE SHIELD |
| P00417175 | Other | KY | RAILROAD MEDICARE |
Other names 1
- Crystal Stevens
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004317 | KY | MD | Orthopedic Physical Therapist |
Interoperability endpoints
- crystal.stevens@direct.lmh.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197331200000",
"number": "1205998630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 STONESTREET RD",
"address_2": "SUITE 400",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402722876",
"telephone_number": "502-935-9776",
"fax_number": "502-935-9813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 STONESTREET RD",
"address_2": "SUITE 400",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402722876",
"telephone_number": "502-935-9776",
"fax_number": "502-935-9813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "CRYSTAL",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "KY",
"license": "004317",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "000000346353",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00417175",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "STEVENS",
"credential": "LPT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.