Crystal Nicole Wood, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2134818 Issued in TX

Practice address

8707 Lakeside Pkwy
San Antonio, TX 78245-3245

Phone

(210) 512-3200

NPI assigned

Aug 21, 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": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1477033157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E SONTERRA BLVD APT 5206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584731",
            "telephone_number": "214-504-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8707 LAKESIDE PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453245",
            "telephone_number": "210-512-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "CRYSTAL",
        "middle_name": "NICOLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2134818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivianne Wong
• Chichi Junda Woo, MD
• Heejun Woo, PHARMD
• Wood Medical Group, P.a.
• Cathy Dufour Wood, MA, CCC-SLP, BCS-S
• Daniel Wood, P.A.
• David A. Wood, M.D.
• David Robert Wood, D.O.
• Hannah C Wood, MS, CNS
• Hayden T Wood

• All providers in San Antonio, TX
• Physical Therapy Assistant in Texas

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