Crystal Womack

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4128 Issued in TN

Practice address

5501 Old Hixson Pike
Hixson, TN 37343-4881

Phone

(423) 847-1370

NPI assigned

Aug 12, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1750056537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 CHIRPING RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435307",
            "telephone_number": "423-508-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD HIXSON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434881",
            "telephone_number": "423-847-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "4128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kevin Wolfe, P.T.A.
• Wolff Chiropractic Center
• Michael Alan Wolff Jr., D.C.
• Michael Alan Wolff, D.C.
• Rhonda Frye Wolff, M.ED, NCC LPC MHSP
• Emma Kay Wood, RBT
• Robert M Wood, MD
• Selma Wood, DPH/RPH
• Kala Woodhouse
• Caitlin Woods

• Physical Therapy Assistant in Hixson, TN
• Providers in Hixson, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.