Active NPI
Crystal-Jeanette N Dalton, DPT
- Physical Therapist
- Port Charlotte, FL
National Provider Identifier
1437574035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT29011
- Practice address
- 992 Tamiami TRL Unit H2
Port Charlotte, FL 33953-3868 - Phone
- (941) 888-4710
- NPI assigned
- Feb 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | PT29011 | FL | Primary |
Addresses
Primary practice location
992 Tamiami TRL Unit H2
Port Charlotte, FL 33953-3868
Mailing address
1001 E Wilson St Ste 100
Batavia, IL 60510-3157
Phone (630) 761-0900
Other names 1
- Crystal-Jeanette N Whisenant
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Care LTD | Physical Therapist | Past | Accepting new patients |
| Therapy Care LTD | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1437574035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E WILSON ST STE 100",
"city": "BATAVIA",
"state": "IL",
"postal_code": "605103157",
"telephone_number": "630-761-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "992 TAMIAMI TRL UNIT H2",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339533868",
"telephone_number": "941-888-4710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "CRYSTAL-JEANETTE",
"middle_name": "N",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-19",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT29011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL-JEANETTE",
"last_name": "WHISENANT",
"middle_name": "N",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.