Individual provider Active NPI

Crystal Meister

  • Physical Therapy Assistant
  • Mount Pleasant, MI
National Provider Identifier
1285063263
Registry record updated Nov 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502001179 Issued in MI
Practice address
1524 Portabella TRL
Mount Pleasant, MI 48858-4006
Phone
(989) 772-2967
Fax
(989) 772-9454
NPI assigned
Nov 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502001179 MI Primary

Addresses

Primary practice location

1524 Portabella TRL
Mount Pleasant, MI 48858-4006

Mailing address

1524 Portabella TRL
Mount Pleasant, MI 48858-4006
Phone (989) 772-2967

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

LicenseStateTypeSpecialty
5502001179MIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384128000000",
    "number": "1285063263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 PORTABELLA TRL",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488584006",
            "telephone_number": "989-772-2967",
            "fax_number": "989-772-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 PORTABELLA TRL",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488584006",
            "telephone_number": "989-772-2967",
            "fax_number": "989-772-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISTER",
        "first_name": "CRYSTAL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-11",
        "last_updated": "2013-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502001179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; 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.