Active NPI
Crystal Padilla Serna, LMT
- Massage Therapist
- Las Cruces, NM
National Provider Identifier
1659135093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-2023-0012
- Practice address
- 500 N Church St Ste 508
Las Cruces, NM 88001-3440 - Phone
- (575) 993-9519
- NPI assigned
- Feb 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT-2023-0012 | NM | Primary |
Addresses
Primary practice location
500 N Church St Ste 508
Las Cruces, NM 88001-3440
Mailing address
500 N Church St Ste 508
Las Cruces, NM 88001-3440
Phone (575) 993-9519
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT-2023-0012 | NM | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystallize Clinical Massage LLC | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1659135093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N CHURCH ST STE 508",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880013440",
"telephone_number": "575-993-9519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N CHURCH ST STE 508",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880013440",
"telephone_number": "575-993-9519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA SERNA",
"first_name": "CRYSTAL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-07",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NM",
"license": "MT-2023-0012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.