Active NPI
Crystal Robinson, PT
- Physical Therapist
- Springfield, SC
National Provider Identifier
1497122428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15863
- Practice address
- 111 Soul Drive
Springfield, SC 29146 - Phone
- (803) 671-8719
- NPI assigned
- Aug 25, 2015
- Last updated
- Aug 25, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 15863 | NC | Primary |
Addresses
Primary practice location
111 Soul Drive
Springfield, SC 29146
Mailing address
111 Soul Drive
P. O. Box 147
Springfield, SC 29146
Phone (803) 671-8719
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15863 | NC | MD | Mental Health Counselor |
| 7962 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440460800000",
"number": "1497122428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 SOUL DRIVE",
"address_2": "P. O. BOX 147",
"city": "SPRINGFIELD",
"state": "SC",
"postal_code": "29146",
"telephone_number": "803-671-8719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SOUL DRIVE",
"city": "SPRINGFIELD",
"state": "SC",
"postal_code": "29146",
"telephone_number": "803-671-8719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "CRYSTAL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-25",
"last_updated": "2015-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "15863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.