Kyle Cristal, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT302016 Issued in CA

Practice address

890 Shasta Ave
Morro Bay, CA 93442-1933

Phone

(805) 772-4325

Fax

(805) 772-2886

NPI assigned

Jan 31, 2022

Last updated

Aug 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catalyst Physical Therapy and Wellness IncGroup PAC ID 0446488324, 17 clinicians

San Luis Physical Therapy and Orthopedic Rehabilitation IncGroup PAC ID 7618872946, 85 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• San Luis Physical Therapy & Orthopedic Rehabilitation Inc

  dba Movement For Life Physical Therapy

  • Physical Therapy Clinic/Center
  • San Luis Obispo, CA
  • NPI 1073552378

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Catalyst Physical Therapy & Wellness, Inc.

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1124456868
  Medicare reassignment Care Compare group
• San Luis Physical Therapy & Orthopedic Rehabilitation Inc

  dba Movement For Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Pismo Beach, CA
  • NPI 1235147828

  Physical Therapist

  NPD
• San Luis Physical Therapy & Orthopedic Rehabilitation Inc

  dba Movement for Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Stockton, CA
  • NPI 1578354239

  Physical Therapist

  NPD
• San Luis Physical Therapy & Orthopedic Rehabilitation Inc

  dba Movement For Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Atascadero, CA
  • NPI 1225046824

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1871246884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HIGUERA ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016135",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 SHASTA AVE",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934421933",
            "telephone_number": "805-772-4325",
            "fax_number": "805-772-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTAL",
        "first_name": "KYLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-31",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT302016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Frances Conforti
• Marissa Marie Cotroneo
• County of San Luis Obispo (Morro Bay High School)
• County of San Luis Obispo (Community Mental Health Services)
• Amy Marie Cresswell, MOT, OTR/L
• Claire V. Cuevas, PHARM.D.
• Julie Nicole Datter, RADT
• Gretchen Daulman
• Alan De Vera, PT, DPT
• Kristin Rachelle Dejong, TECHNICIAN HEALTH

• Physical Therapist in Morro Bay, CA
• Providers in Morro Bay, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.