Active NPI
Crystal Ann Profaizer, MSPT
- Physical Therapist
- Green River, WY
National Provider Identifier
1801855283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT813
- Practice address
- 1715 Hitching Post Dr
Green River, WY 82935-5783 - Phone
- (307) 352-6871
- Fax
- (307) 352-6873
- NPI assigned
- Mar 22, 2006
- 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 | PT813 | WY | Primary |
Addresses
Primary practice location
1715 Hitching Post Dr
Green River, WY 82935-5783
Mailing address
1715 Hitching Post Dr
Green River, WY 82935-5783
Phone (307) 352-6871
Other names 1
- Crystal Lloyd
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488758400000",
"number": "1801855283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 HITCHING POST DR",
"city": "GREEN RIVER",
"state": "WY",
"postal_code": "829355783",
"telephone_number": "307-352-6871",
"fax_number": "307-352-6873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 HITCHING POST DR",
"city": "GREEN RIVER",
"state": "WY",
"postal_code": "829355783",
"telephone_number": "307-352-6871",
"fax_number": "307-352-6873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROFAIZER",
"first_name": "CRYSTAL",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2017-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "LLOYD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Green River, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.