Crystal Brown, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010357 Issued in MI

Practice address

2331 Alpine Ave NW
Grand Rapids, MI 49544-1954

Phone

(616) 785-2619

NPI assigned

Oct 3, 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

Other names 1

• Crystal Frakes Former name

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": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1477038636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CIRCLE DR",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494159631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 ALPINE AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441954",
            "telephone_number": "616-785-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CRYSTAL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "FRAKES",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caitlin Brown
• Charles Brown, LPC, CAADC
• Cheyenne Brown, OTR/L
• Chloe Christine Brown, BEHAVIOR TECH
• Conner Wayne Brown
• Eric A Brown, MD
• Erica Renee Brown, PA-C
• Grace Anna Brown, MSN, RN, AGCNS-BC
• Gwendolyn Hilton Brown, D.D.S
• Hannah Brown, PSYD

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.