Crystal Urata Labrador Ignacio, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT294483 Issued in CA

Practice address

35325 Date Palm Dr Ste 131
Cathedral City, CA 92234-7031

Phone

(760) 202-0368

Fax

(760) 770-1973

NPI assigned

Jun 10, 2006

Last updated

Feb 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Miss Crystal Urata Labrador Former name

Medicare fee-for-service enrollment

Enrolled in TX, CA, WA3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CV Physical Therapy, Inc.Group PAC ID 5698834174, 20 clinicians

Integrated Rehabilitation Group PCGroup PAC ID 0042111718, 192 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.

• CV Physical Therapy, Inc.

  dba Movement For Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Stockton, CA
  • NPI 1811150311

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• 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
• Integrated Rehabilitation Group, PC

  • Physical Therapy Clinic/Center
  • Mill Creek, WA
  • NPI 1154369833
  Medicare reassignment Care Compare group
• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603

  Physical Therapist

  Medicare reassignment NPD
• All Care Therapies of Georgetown, PLLC

  • Occupational Therapist
  • Georgetown, TX
  • NPI 1033538921
  Medicare reassignment
• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD
• San Luis Physical Therapy & Orthopedic Rehabilitation Inc

  dba Movement For Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Morro Bay, CA
  • NPI 1447268065

  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
• Allied Therapies of Texas, PLLC

  • Multi-Specialty Clinic/Center
  • Copperas Cove, TX
  • NPI 1164009254

  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)
• Jacqueline Kozak

  • Occupational Medicine Clinic/Center
  • Georgetown, TX
  • NPI 1699482448
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1952343667",
    "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": "35325 DATE PALM DR STE 131",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347031",
            "telephone_number": "760-202-0368",
            "fax_number": "760-770-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNACIO",
        "first_name": "CRYSTAL",
        "middle_name": "URATA LABRADOR",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "129195",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1152481",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT294483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T8753",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "LABRADOR",
            "middle_name": "URATA",
            "prefix": "MISS",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tan-Li Hsu
• Gary Y Huang, MD
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• Damiano De Sano Iocovozzi
• Natalie B Irwin, DPT

• Physical Therapist in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.