Active NPI
Krystle M Craver, DPT
- Physical Therapist
- Cary, NC
National Provider Identifier
1790935104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11850
- Practice address
- 3701 NW Cary Pkwy
Suite 301
Cary, NC 27513-8431 - Phone
- (919) 388-0111
- Fax
- (919) 388-8668
- NPI assigned
- Sep 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11850 | NC | Primary |
Addresses
Primary practice location
3701 NW Cary Pkwy
Suite 301
Cary, NC 27513-8431
Mailing address
3701 NW Cary Pkwy
Suite 301
Cary, NC 27513-8431
Phone (919) 388-0111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7212500 | Medicaid | NC | |
| 150Y4 | Other | NC | BCBS OF NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11850 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233273600000",
"number": "1790935104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 NW CARY PKWY",
"address_2": "SUITE 301",
"city": "CARY",
"state": "NC",
"postal_code": "275138431",
"telephone_number": "919-388-0111",
"fax_number": "919-388-8668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 NW CARY PKWY",
"address_2": "SUITE 301",
"city": "CARY",
"state": "NC",
"postal_code": "275138431",
"telephone_number": "919-388-0111",
"fax_number": "919-388-8668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAVER",
"first_name": "KRYSTLE",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-22",
"last_updated": "2009-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "11850",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7212500",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "150Y4",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.