Krystle Joy Ellington, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT292486 Issued in CA

Practice address

1172 Third Ave Ste D6
Chula Vista, CA 91911-3116

Phone

(858) 755-5200

Fax

(619) 739-4701

NPI assigned

Jan 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Krystle Joy Desquitado Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic and Neurological Rehab IncGroup PAC ID 6507159126, 368 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Orthopaedic and Neurological Rehab Inc

  • Rehabilitation Clinic/Center
  • Billings, MT
  • NPI 1225496540

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Therapy Resources Inc.

  • Physical Therapy Clinic/Center
  • National City, CA
  • NPI 1922321397

  Physical Therapist

  Medicare reassignment NPD
• Rise Physical Therapy Inc

  dba SoCal Elite Physical Therapy

  • Physical Therapy Clinic/Center
  • Solana Beach, CA
  • NPI 1083038764
  Medicare reassignment
• Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc

  • Rehabilitation Clinic/Center
  • Tustin, CA
  • NPI 1548940885
  NPD

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1679010151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 THIRD AVE STE D6",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113116",
            "telephone_number": "858-755-5200",
            "fax_number": "619-739-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 THIRD AVE STE D6",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113116",
            "telephone_number": "858-755-5200",
            "fax_number": "619-739-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "KRYSTLE",
        "middle_name": "JOY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "292486",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT292486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.risephysicaltherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "380 Stevens Ave Ste 314",
            "city": "Solana Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920752069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRYSTLE",
            "last_name": "DESQUITADO",
            "middle_name": "JOY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elite Choice Home Care
• Elite Specialty Surgery Center of Chula Vista, LLC
• Elizabeth Scott MD Inc
• Marisol Elizarraras
• Samantha Leigh Ellig, PT
• Kimberley Laura Ellis
• Jalisa Ellison
• Elnel, Inc. a California Corporation Total Physical Therapy
• Leaha Elrod
• Michael Elyea, PHARM D

• Physical Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.