Crystal Lynne Basich III, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012276 Issued in OH

Practice address

2899 Hubbard Rd
Madison, OH 44057-2933

Phone

(440) 428-0422

NPI assigned

Jul 1, 2016

Last updated

Jul 1, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cbasich39052@ehrdirect.uhhospitals.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Layton Physical Therapy Co., Inc.

  • Physical Therapy Clinic/Center
  • Madison, OH
  • NPI 1215084579
  NPD (past)

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1245682202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7923 MUNSON RD",
            "address_2": "STE 6",
            "city": "MENTOR ON THE LAKE",
            "state": "OH",
            "postal_code": "440603742",
            "telephone_number": "440-209-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2899 HUBBARD RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572933",
            "telephone_number": "440-428-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASICH",
        "first_name": "CRYSTAL",
        "middle_name": "LYNNE",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "012276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0747777",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Alan Baker, O.D.
• Tabitha Marie Barnum
• Robert J Barr, DPM
• Faith Barron, RN
• Mark Andrew Bashore, O.D.
• Taylor Mackenzie Becker
• Sara K Beech
• Jeanette D Behm, LPCC
• Jerry C Bell, DO
• Stephanie Blake, LPC

• Physical Therapist in Madison, OH
• Providers in Madison, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.