Crystal Rae, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PA5213 Issued in ME

Practice address

7 Highwood St
Waterville, ME 04901-5739

Phone

(207) 873-0705

NPI assigned

Dec 1, 2018

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

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": "1543622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543622400000",
    "number": "1285104307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 FRENCH HILL RD",
            "city": "SOLON",
            "state": "ME",
            "postal_code": "049793114",
            "telephone_number": "207-399-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HIGHWOOD ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015739",
            "telephone_number": "207-873-0705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 French Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Solon",
            "state": "ME",
            "postal_code": "049793114",
            "country_code": "US",
            "telephone_number": "207-399-8488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAE",
        "first_name": "CRYSTAL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-01",
        "last_updated": "2018-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA5213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kira Watson Pushard, CNP
• James R Putnam, M.D.
• Lindsay Jewel Quirion
• R&K LLC
• Alyssa M Radmore-Spear, LCSW
• Syed Iqbql Rahmatullah, M.D.
• Sarah J. Ramgren, S.L.P - C.C.C.
• Jennifer Rancourt, HEARING INSTRUMENT
• Rebecca Rancourt
• Rae Ann Randall, LPN

• Physical Therapy Assistant in Waterville, ME
• Providers in Waterville, ME by specialty
• Physical Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2018; 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.