Crystal A Floyd, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

5400 Macarthur Blvd
Vancouver, WA 98661-7049

Phone

(360) 759-1500

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1235229394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 3RD AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323229",
            "telephone_number": "360-423-9535",
            "fax_number": "360-414-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 MACARTHUR BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617049",
            "telephone_number": "360-759-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986323229",
            "country_code": "US",
            "telephone_number": "360-423-9535",
            "fax_number": "360-414-9284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "CRYSTAL",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "60046075",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flourish LLC
• Flourish: a Space for Dimensional Healing
• Flourishlmt PLLC
• Kristen M Flowers, MFTA
• Miley Celeste Flowers, LMP
• Kalee-Glynn Mikiko Floyd, LMHCA
• Kiersten Norene Flyckt, PHARMD
• Christina Flynn, LW61326712
• Matthew James Flynn, M.D.
• Mikiko Flynn, M.D.

• Physical Therapy Assistant in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.