Tina Cralley, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19558 Issued in CA

Practice address

5821 Sunmist Dr
Yorba Linda, CA 92886-5505

Phone

(714) 743-8537

NPI assigned

Apr 10, 2015

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifetime Physical Therapy and Fitness IncGroup PAC ID 8224186184, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lifetime Physical Therapy and Fitness Inc

  • Physical Therapy Clinic/Center
  • Yorba Linda, CA
  • NPI 1649424425

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1801282330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 SUNMIST DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928865505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 SUNMIST DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928865505",
            "telephone_number": "714-743-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRALLEY",
        "first_name": "TINA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "19558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation
• Brenton John Cowles, PT, DPT
• John H. Crabtree, MD
• Judy Kao Craig, MSW
• Xandi Jacqueline Craig, P.A.
• Cristina Home Care LLC
• Liliana Cruz
• Chris Curtis, EMT-P RCFE ADMIN
• Samad Cyrus, M.S., CCC-SLP
• Gina D'Angelo, PT

• Physical Therapist in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.