Organization Active NPI

Kryokrysta

Doing business as CryoWellness Studio

  • Physical Therapy Clinic/Center
  • Clive, IA
National Provider Identifier
1588490155
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KRYOKRYSTA
Doing business as
CryoWellness Studio
Practice address
1980 NW 94TH St Ste E
Clive, IA 50325-6935
Phone
(712) 250-0990
NPI assigned
Sep 11, 2024
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Krysta Metz Bryars, DPTNPI 1194051268
Title
Owner
Phone
(712) 250-0990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1980 NW 94TH St Ste E
Clive, IA 50325-6935

Mailing address

1980 NW 94TH St Ste E
Clive, IA 50325-6935

Other names 1

  • CryoWellness Studio Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1588490155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 NW 94TH ST STE E",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503256935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 NW 94TH ST STE E",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503256935",
            "telephone_number": "712-250-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYOKRYSTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "BRYARS",
        "authorized_official_first_name": "KRYSTA",
        "authorized_official_middle_name": "METZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-250-0990",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CryoWellness Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.