Individual provider Active NPI

Chrystal Yen, DPT

  • Physical Therapist
  • Greenwood, IN
National Provider Identifier
1710592274
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013806A Issued in IN
Practice address
2091 Ridgemere Way
Greenwood, IN 46143-9288
Phone
(317) 887-1600
NPI assigned
Sep 11, 2020
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05013806A IN Primary

Addresses

Primary practice location

2091 Ridgemere Way
Greenwood, IN 46143-9288

Mailing address

2091 Ridgemere Way
Greenwood, IN 46143-9288
Phone (317) 887-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306001586 CA Practitioner - Physical Therapist in Private Practice 0749608313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Physical Therapy Specialists IncGroup PAC ID 9537111745, 13 clinicians

Practice addresses (Care Compare)

111 S Hudson Ave
Pasadena, CA 91101-2606
Phone (626) 683-8536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Physical Therapy Specialists, Inc Physical Therapist CurrentSince Jan 22, 2024 Accepting new patients
Sand Coast Rehab Physical Therapy Inc Physical Therapist CurrentSince Feb 19, 2024 Accepting new patients
Foothill Family Service - Hudson PastSince Jan 22, 2024 Accepting new patients

Locations

441 E Carson St
Ste K
Carson, CA 90745
Phone (732) 375-0420

650 Harrison Ave
Claremont, CA 91711
Phone (888) 627-2900

111 S Hudson Ave
Pasadena, CA 91101
Phone (626) 683-8536

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

Organizations & group practices 3

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": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1710592274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 RIDGEMERE WAY",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461439288",
            "telephone_number": "317-887-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 RIDGEMERE WAY",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461439288",
            "telephone_number": "317-887-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEN",
        "first_name": "CHRYSTAL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013806A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.