Crystal Hazelton, MPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT33826 Issued in CA

Practice address

12625 High Bluff Dr Ste 107
San Diego, CA 92130-2053

Phone

(858) 261-0077

Fax

(858) 341-0117

NPI assigned

Jan 25, 2008

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Specialty Physical Therapy IncGroup PAC ID 4587023916, 2 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.

• Coastal Specialty Physical Therapy, Inc

  dba COVA Physical Therapy

  • Physical Therapy Clinic/Center
  • Solana Beach, CA
  • NPI 1962100180

  Orthopedic

  Medicare reassignment Care Compare group NPD Authorized official
• Angela Yvonne Acupuncture Inc

  • Acupuncturist
  • San Diego, CA
  • NPI 1285096545
  NPD (past)
• Bodyworkspt, Inc.

  • Geriatric Physical Therapist
  • Yorba Linda, CA
  • NPI 1619360443
  NPD (past)
• Bodyworkspt, Inc.

  • Physical Therapist
  • Yorba Linda, CA
  • NPI 1932261351

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1689851206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR STE 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302053",
            "telephone_number": "858-261-0077",
            "fax_number": "858-341-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR STE 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302053",
            "telephone_number": "858-261-0077",
            "fax_number": "858-341-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELTON",
        "first_name": "CRYSTAL",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT33826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Marie Hazard
• Kevin Daryl Hazel
• Tiffany Nicole Hazel
• Paul Nolan Hazelbaker, DO
• Hazelden Betty Ford Foundation (Betty Ford Center at San Diego)
• Elizabeth Lynne Hazelton, RCP, RRT
• Ellyn Ann Hazelton, L.C.S.W.
• Michele Hazelwood
• Andrea Lynn Hazen, PHD
• Erica Lynn Hazen

• Orthopedic Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.