Individual provider Active NPI

Krystal Schlegel, PT

  • Physical Therapist
  • Eagle, CO
National Provider Identifier
1265099451
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0010850 Issued in CO
Practice address
377 Sylvan Lake Road
Eagle, CO 81631
Phone
(970) 328-6715
NPI assigned
May 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0010850 CO Primary

Addresses

Primary practice location

377 Sylvan Lake Road
Eagle, CO 81631

Mailing address

PO Box 40000
Vail, CO 81658-7520
Phone (970) 471-6203

Other practice location 1

52 Lundgren Boulevard
Gypsum, CO 81637
Phone (970) 777-2700

Other practice location 2

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-2451

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address VVMC.DIRECT@direct.vvmc.com Health Information Exchange (HIE) Vail Clinic, Inc.
Direct Messaging Address VVMC.DIRECT@direct.vvmc.com Health Information Exchange (HIE) VAIL CLINIC INC
Direct Messaging Address VVMC.DIRECT@direct.vvmc.com Health Information Exchange (HIE) VAIL CLINIC INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210305000514 CO Practitioner - Physical Therapist in Private Practice 9638584881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vail Clinic IncGroup PAC ID 3577475714, 117 clinicians

Practice addresses (Care Compare)

52 Lundgren Blvd
Gypsum, CO 81637-5001
Phone (970) 777-2700

Merit-based Incentive Payment System (MIPS)

Final score
75.38 of 100Reported as group
Quality
55.42
Promoting interoperability
96
Improvement activities
40
Cost
65.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0010850COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vail Clinic, Inc. Current Accepting new patients
Vail Clinic Inc CurrentSince Nov 1, 2020 Accepting new patients
Vail Clinic, Inc. CurrentSince Nov 1, 2020 Accepting new patients

Locations

1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800

377 Sylvan Lake Rd
Eagle, CO 81631
Phone (970) 328-1650

52 Lundgren Blvd
Gypsum, CO 81637
Phone (970) 777-2700

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036

Interoperability endpoints

  • Direct secure messaging: vvmc.direct@direct.vvmc.com

Organizations & group practices 3

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1265099451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40000",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816587520",
            "telephone_number": "970-471-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 SYLVAN LAKE ROAD",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "81631",
            "telephone_number": "970-328-6715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Lundgren Boulevard",
            "address_purpose": "LOCATION",
            "city": "Gypsum",
            "state": "CO",
            "postal_code": "81637",
            "country_code": "US",
            "telephone_number": "970-777-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "181 W Meadow Dr",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "81657",
            "country_code": "US",
            "telephone_number": "970-476-2451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLEGEL",
        "first_name": "KRYSTAL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0010850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "Y",
            "affiliationName": "Vail Clinic, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "181 W Meadow Dr",
            "city": "Vail",
            "state": "CO",
            "country_code": "US",
            "postal_code": "81657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "Y",
            "affiliationName": "VAIL CLINIC INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "52 Lundgren Boulevard",
            "city": "Gypsum",
            "state": "CO",
            "country_code": "US",
            "postal_code": "81637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "Y",
            "affiliationName": "VAIL CLINIC INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "377 Sylvan Lake Road",
            "city": "Eagle",
            "state": "CO",
            "country_code": "US",
            "postal_code": "81631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eagle, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.