Individual provider Active NPI

Krysta C Lin, P.T.

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1801191028
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23547 Issued in MD
Practice address
86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone
(301) 694-8311
Fax
(301) 694-3537
NPI assigned
Jan 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT871235 DC
Physical Therapist 225100000X 23547 MD Primary

Addresses

Primary practice location

86 Thomas Johnson CT
Frederick, MD 21702-4348

Mailing address

86 Thomas Johnson Court
Frederick, MD 21702-4348
Phone (301) 694-8311

Other practice location 1

3280 Urbana Pike Ste 105
Ijamsville, MD 21754-9411
Phone (301) 694-8311

Other practice location 2

165 Thomas Johnson Dr Ste E
Frederick, MD 21702-4742
Phone (301) 694-8311

Other names 1

  • Krysta Lynn Cutting Former name

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

LicenseStateTypeSpecialty
23547MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 1, 2017 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 1, 2017 Accepting new patients

Locations

161 Thomas Johnson Dr
Ste 100
Frederick, MD 21702
Phone (301) 579-7811

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

165 Thomas Johnson Dr
Ste E
Frederick, MD 21702

3280 Urbana Pike
Ste 105
Ijamsville, MD 21754

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1801191028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 THOMAS JOHNSON COURT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024348",
            "telephone_number": "301-694-8311",
            "fax_number": "301-694-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 THOMAS JOHNSON CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024348",
            "telephone_number": "301-694-8311",
            "fax_number": "301-694-3537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3280 Urbana Pike Ste 105",
            "address_purpose": "LOCATION",
            "city": "Ijamsville",
            "state": "MD",
            "postal_code": "217549411",
            "country_code": "US",
            "telephone_number": "301-694-8311",
            "fax_number": "301-694-3537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Thomas Johnson Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024742",
            "country_code": "US",
            "telephone_number": "301-694-8311",
            "fax_number": "301-695-4324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "KRYSTA",
        "middle_name": "C",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT871235",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTA",
            "last_name": "CUTTING",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.