Crista Rainelle Leiske, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 22597 Issued in CA

Practice address

81557 Doctor Carreon Blvd
Suite C8
Indio, CA 92201-5517

Phone

(760) 775-5511

Fax

(760) 775-5521

NPI assigned

Jul 30, 2006

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 identifiers 1

Other names 1

• Miss Crista Rainelle Crombie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• All Star Physical Therapy

  • Physical Therapist
  • Murrieta, CA
  • NPI 1750559431
  NPD (past)
• Elite Physical Therapy and Wellness, Inc.

  dba Elite Physical Therapy & Wellness

  • Physical Therapist
  • La Quinta, CA
  • NPI 1780702209
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568477362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52333 AVENIDA HERRERA",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922533273",
            "telephone_number": "760-564-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81557 DOCTOR CARREON BLVD",
            "address_2": "SUITE C8",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015517",
            "telephone_number": "760-775-5511",
            "fax_number": "760-775-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISKE",
        "first_name": "CRISTA",
        "middle_name": "RAINELLE",
        "name_prefix": "Ms.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 22597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "OPT225970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTA",
            "last_name": "CROMBIE",
            "middle_name": "RAINELLE",
            "prefix": "MISS",
            "credential": "M.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Therese Lee
• Duk-Sun Lee, D.D.S.
• Elmo Shin Lee, M.D.
• Legacymd Surgical Center, Inc
• Gina Susan Leiserowitz, M.ED
• Andy S Leiva
• Cecilia Arlyn Lemus I
• Mirta Lerma
• Tony Leuang
• Marcia Lewis, AMFT #72446

• Physical Therapist in Indio, CA
• Providers in Indio, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.