Crystal Kohlbrenner, MA52011

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA52011 Issued in FL

Practice address

1824 W Waters Ave
Tampa, FL 33604-1004

Phone

(813) 932-0203

Fax

(813) 932-6701

NPI assigned

Jul 28, 2009

Last updated

Jul 28, 2009By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Regional Enterprises for Health Corporation

  • Clinic/Center
  • Tampa, FL
  • NPI 1760653356
  NPD (past)
• Regional Healthcare Center

  • Clinic/Center
  • Tampa, FL
  • NPI 1124220280
  NPD (past)

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1598996340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336041004",
            "telephone_number": "813-932-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336041004",
            "telephone_number": "813-932-0203",
            "fax_number": "813-932-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLBRENNER",
        "first_name": "CRYSTAL",
        "name_prefix": "Miss",
        "credential": "MA52011",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA52011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Koesling
• Diana Kofron, CPNP
• Jessica Kogan, RBT
• Alicia Leigh Kohalmi, PSY.D.
• Stephen D Kohl, M.D.
• Tara Kohler
• Puja Kohli, MD
• Karina Kohn Cordeiro, MD, PHD
• Adrian Kohut, MD
• Gautam Krishna Koipallil, MD, MPH, CPH

• Massage Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.