Crystal Rene Thomas, PT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

PT32707 Issued in CA

Practice address

144 W Los Angeles Ave
Ste 110
Moorpark, CA 93021-1898

Phone

(805) 552-1915

Fax

(805) 552-1991

NPI assigned

Mar 25, 2008

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

Other identifiers 1

Other names 1

• Ms. Crystal Rene Kiefer Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yvonne Kathleen Calderon, DPT

  • Physical Therapist
  • Thousand Oaks, CA
  • NPI 1679099790
  Medicare reassignment
• Heidi Michelle Duque, P.T.

  • Physical Therapist
  • Thousand Oaks, CA
  • NPI 1184930026
  Medicare reassignment
• Jessica Santana Franklin, PT, DPT, OCS

  • Physical Therapist
  • Agoura Hills, CA
  • NPI 1760141584
  Medicare reassignment
• Jennifer Rose Sligo, DPT

  • Sports Physical Therapist
  • Thousand Oaks, CA
  • NPI 1740884394
  Medicare reassignment
• Whitney Marie Randall, PT, DPT

  • Physical Therapist
  • Chesapeake, VA
  • NPI 1013401207

  CA

  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Xcelerate Physical Therapy Inc.

  • Physical Therapist
  • Thousand Oaks, CA
  • NPI 1306814124
  Medicare reassignment
• Coastal Physical Therapy and Sports Rehabilitation

  • Sports Physical Therapist
  • Thousand Oaks, CA
  • NPI 1104443837
  NPD (past)
• Seal Beach Physical Therapy Inc.

  • Physical Therapist
  • Seal Beach, CA
  • NPI 1316262983

  Sports

  NPD (past)
• DPT Holdings, LLC

  dba Doctors of Physical Therapy

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602

  Sports

  NPD (past)

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1861664377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W LOS ANGELES AVE",
            "address_2": "STE 110",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211898",
            "telephone_number": "805-552-1915",
            "fax_number": "805-552-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W LOS ANGELES AVE",
            "address_2": "STE 110",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211898",
            "telephone_number": "805-552-1915",
            "fax_number": "805-552-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CRYSTAL",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT32707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT32707",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "KIEFER",
            "middle_name": "RENE",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allen Taniguchi, PHARM D
• Kimberly A Tedder, O.D.
• Taylor D Tedder, O.D.
• The Meadowglade, LLC
• The Meadowglade, LLC
• Thorne Dent Corporation (Moorpark Smiles Dental Group)
• John Michael Thorne, DDS
• Thrifty Payless Inc (Rite Aid Pharmacy 05778)
• Jordyn Riley Todd
• Douglas Topper, DDS

• Sports Physical Therapist in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Sports Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.