Individual provider Active NPI

Crystal Lyles Mitchell, DPT

  • Physical Therapist
  • Garland, TX
National Provider Identifier
1407540073
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1370792 Issued in TX
Practice address
1525 Pleasant Valley Rd
Garland, TX 75040-4327
Phone
(972) 496-8800
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 1370792 TX Primary

Addresses

Primary practice location

1525 Pleasant Valley Rd
Garland, TX 75040-4327

Mailing address

1525 Pleasant Valley Rd
Garland, TX 75040-4327
Phone (972) 496-8800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250122002028 TX Practitioner - Physical Therapist in Private Practice 2668901588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center of Pelvic Excellence Physical Therapy Cope PTGroup PAC ID 2264838218, 8 clinicians

Practice addresses (Care Compare)

3721 S Stonebridge Dr
Unit 1102
McKinney, TX 75070-0236
Phone (817) 381-5177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1370792TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosipal Institute for Pelvic Therapy Solutions, PLLC Physical Therapist CurrentSince Dec 3, 2024 Accepting new patients
Origin Physical Therapy FL PLLC Physical Therapist CurrentSince Dec 3, 2024 Accepting new patients
Center of Pelvic Excellence Physical Therapy Cope PT Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients
Sullivan Physical Therapy LLC Physical Therapist PastSince Mar 16, 2023 Accepting new patients

Locations

12411 Hymeadow Dr
Ste 3B
Austin, TX 78750
Phone (512) 250-8497

4950 Terminal St
Ste 100
Bellaire, TX 77401
Phone (832) 307-0894

12700 Hillcrest Rd
Ste 149
Dallas, TX 75230
Phone (817) 381-5110

3721 S Stonebridge Dr
Unit 1102
McKinney, TX 75070
Phone (817) 381-5177

4200 Mapleshade Ln
Ste 110
Plano, TX 75093
Phone (972) 735-0920

Organizations & group practices 4

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1407540073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 PLEASANT VALLEY RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750404327",
            "telephone_number": "972-496-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 PLEASANT VALLEY RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750404327",
            "telephone_number": "972-496-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYLES MITCHELL",
        "first_name": "CRYSTAL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1370792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.