Crystal Kennedy Thomas, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2539 Issued in NC

Practice address

2045 Ward Blvd
Wilson, NC 27893-2873

Phone

(252) 234-2100

NPI assigned

Dec 1, 2019

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

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.

• Bluewater Physician Services

  • Specialist
  • Asheville, NC
  • NPI 1811598733
  NPD (past)
• Broad River Rehabilitation

  dba Broad River Rehab

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1902317589

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1575158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575158400000",
    "number": "1588201396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 HAYWOOD RD STE H",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288067111",
            "telephone_number": "828-774-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 WARD BLVD",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932873",
            "telephone_number": "252-234-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CRYSTAL",
        "middle_name": "KENNEDY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-01",
        "last_updated": "2019-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Mental Health Association in North Carolina, Inc. (Minshew Apts)
• The Mental Health Association in North Carolina, Inc. (Magnolia Place)
• The Village Home Care LTD. Liability Co.
• Kennette Renee Thigpen, MSW LCSW
• Octavia Nicole Thigpen
• Gordon Thomas, PT
• James Robert Thomas, RPH
• Leah D Thomas, AU.D., CCC-A
• Pamela Collie Thomas, LCAS
• Sarah Danielle Thomas, HIS

• Physical Therapist in Wilson, NC
• Providers in Wilson, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; 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.