Active NPI
Crystal Lynn Warren, PT
- Physical Therapist
- Ozark, MO
National Provider Identifier
1235767443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 101402
- Practice address
- 1725 S 15TH St
Ozark, MO 65721-9030 - Phone
- (417) 730-5500
- Fax
- (417) 730-5505
- NPI assigned
- Apr 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 101402 | MO | Primary |
Addresses
Primary practice location
1725 S 15TH St
Ozark, MO 65721-9030
Mailing address
1725 S 15TH St
Ozark, MO 65721-9030
Phone (417) 730-5500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Crystal.Warren@coxhealth.com | Direct | Lester E Cox Medical Centers |
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 |
|---|---|---|---|
| 101402 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Single Specialty | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1235767443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 S 15TH ST",
"city": "OZARK",
"state": "MO",
"postal_code": "657219030",
"telephone_number": "417-730-5500",
"fax_number": "417-730-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 S 15TH ST",
"city": "OZARK",
"state": "MO",
"postal_code": "657219030",
"telephone_number": "417-730-5500",
"fax_number": "417-730-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "CRYSTAL",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-01",
"last_updated": "2023-11-27",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MO",
"license": "101402",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Crystal.Warren@coxhealth.com",
"affiliation": "Y",
"endpointDescription": "Provider email",
"affiliationName": "Lester E Cox Medical Centers",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "1725 S 15th St",
"city": "Ozark",
"state": "MO",
"country_code": "US",
"postal_code": "657219030",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ozark, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.