Crystal Lynn Markfort, PT, DPT, PCS
Individual provider Active NPI Pediatric Physical Therapist · MPLS, MN
NPI 1760626196 · NPPES record last updated Apr 8, 2014
Key facts
- NPI
- 1760626196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 7600 (MN)
- Practice address
- 2025 East River Parkway
MPLS, MN 55414 - Phone
- (651) 784-7007
- Fax
- (651) 784-7992
- NPI assigned
- Apr 29, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7600 | MN | MD | Pediatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 7600 | MN | Yes |
Addresses
Primary practice location
2025 East River Parkway
MPLS, MN 55414
Mailing address
2025 East River Parkway
MPLS, MN 55414
Phone (651) 784-7007
Other providers in MPLS, MN
- Debra Joann Jones
- Deborah K Klein
- Whitney Eliesbeth Lambert
- Kari Lewis
- Kirsten Lysne
- Natalie Jo McNall
- Donald James McPartlan
- Steven Baxter Means
- Rebecca Ann Meers Oyanagi
- Cathy Montgomery
All providers in MPLS, MN · Pediatric Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.