Crystal Cunetto

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

R1236 Issued in MO

Practice address

1114 Ridgelynn Dr
Saint Louis, MO 63124-1220

Phone

(314) 374-8890

NPI assigned

Oct 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1811447840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 RIDGELYNN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241220",
            "telephone_number": "314-374-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 RIDGELYNN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241220",
            "telephone_number": "314-374-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNETTO",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "MO",
            "license": "R1236",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "R1236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia M Cummins
• Arun Cumpelik, MD
• April L Cundiff, CCC-SLP
• Christopher Patrick Cundiff, M.D.
• Michael Cundiff, RBT
• Aimee Cunningham
• Alicia Nicole Cunningham, LPC
• Ashlyn R Cunningham, OTR/L
• Christopher Reed Cunningham, MD
• Darlene Denice Cunningham, BS, RN, MA, CDDN

• Physical Therapy Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.