Crystal Lavonne Tabor, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4429 Issued in AR

Practice address

702 N Main St
Harrison, AR 72601-2900

Phone

(870) 204-5330

NPI assigned

Jun 3, 2019

Last updated

Mar 21, 2025By 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

Electronic endpoints 1

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1407414675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012900",
            "telephone_number": "870-204-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOR",
        "first_name": "CRYSTAL",
        "middle_name": "LAVONNE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "4429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "4429",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystal@thera-play.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "702 N Main St",
            "city": "Harrison",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726012900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nikki Sutterfield, MHPP
• Monica Lynn Sutton, LCSW
• Donielle Kay Swanson, CNP
• Rebecca Sweatman, MHPP
• Pam Sweeney, MNPP
• Kaylee S Tabor, OTR/L
• Angela D Tate, LCSW
• Tatum Orthodontics LLC
• Annakate Milburn Tatum, D.D.S.
• Amanda Taylor

• Physical Therapy Assistant in Harrison, AR
• Providers in Harrison, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.