Active NPI
Matthew Serfontein Crisler, PT, DPT
- Physical Therapist
- Centralia, WA
National Provider Identifier
1386555191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12516R
- Practice address
- 515 Harrison Ave Ste a
Centralia, WA 98531-1300 - Phone
- (360) 870-2473
- NPI assigned
- Sep 14, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 12516R | LA | Primary |
Addresses
Primary practice location
515 Harrison Ave Ste a
Centralia, WA 98531-1300
Mailing address
7358 Eastlake Rd
Sterlington, LA 71280-3214
Other practice location 1
7940 29th Ave NE Ste 101
Lacey, WA 98516-7179
Phone (360) 870-2473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1386555191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7358 EASTLAKE RD",
"city": "STERLINGTON",
"state": "LA",
"postal_code": "712803214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 HARRISON AVE STE A",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985311300",
"telephone_number": "360-870-2473"
}
],
"practiceLocations": [
{
"address_1": "7940 29th Ave NE Ste 101",
"address_purpose": "LOCATION",
"city": "Lacey",
"state": "WA",
"postal_code": "985167179",
"country_code": "US",
"telephone_number": "360-870-2473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRISLER",
"first_name": "MATTHEW",
"middle_name": "SERFONTEIN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "12516R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.