Crystal Nicole-Marie Whitman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

10283APTA Issued in AZ

Practice address

5411 W. Cinnabar Ave.
Glendale, AZ 85302

Phone

(602) 367-9311

NPI assigned

Aug 28, 2013

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": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1518391341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 W CINNABAR AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022219",
            "telephone_number": "602-367-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 W. CINNABAR AVE.",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85302",
            "telephone_number": "602-367-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "CRYSTAL",
        "middle_name": "NICOLE-MARIE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "10283APTA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip White
• Rachel White, PHD, LMFT
• Whitehorse Medical Transportation 1 LLC
• Joshua Whitenack
• Kimberly Kay Whitlock, APRN
• Wendy Ann Whitsett, MC
• Antigua Whittiker
• Randi Whittington
• Joseph Whitwell, MA
• Whole Child Success Therapeutics LLC

• Physical Therapy Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.