Individual provider Active NPI

Crystal Elizabeth Alderfer, MS PT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1629192182
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2728 Issued in HI
Practice address
1360 S Beretania St
Suite 401
Honolulu, HI 96814-1520
Phone
(808) 521-4766
NPI assigned
Mar 19, 2007
Last updated
Nov 27, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2728 HI Primary
Hand Physical Therapist 2251H1200X 2728 HI
Orthopedic Physical Therapist 2251X0800X 2728 HI

Addresses

Primary practice location

1360 S Beretania St
Suite 401
Honolulu, HI 96814-1520

Mailing address

PO Box 7922
Long Beach, CA 90807-4338
Phone (714) 309-8335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2728HIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Range of Motion, Inc Past Accepting new patients
Range of Motion Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1629192182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7922",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074338",
            "telephone_number": "714-309-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S BERETANIA ST",
            "address_2": "SUITE 401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141520",
            "telephone_number": "808-521-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDERFER",
        "first_name": "CRYSTAL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2728",
            "primary": true
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "HI",
            "license": "2728",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "HI",
            "license": "2728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.