Mavilyn Crissman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2971 Issued in AR

Practice address

501 N Main St
Harrison, AR 72601-3535

Phone

(870) 743-5573

Fax

(870) 743-5974

NPI assigned

Feb 27, 2007

Last updated

Jun 15, 2022By 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 1

Addresses

Other names 1

• Mavilyn Genciana Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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.

• Empowerme Rehabilitation Missouri LLC

  dba EmpowerMe Rehab St. Charles

  • Multi-Specialty Clinic/Center
  • Saint Charles, MO
  • NPI 1417479494

  Physical Therapist

  Medicare reassignment NPD
• Empowerme Wellness Kansas City, LLC

  • Multi-Specialty Clinic/Center
  • Kansas City, MO
  • NPI 1083208391

  Physical Therapist

  Medicare reassignment NPD
• Empowerme Rehabilitation Missouri LLC

  • Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1558932327

  Physical Therapist

  NPD
• Empowerme Wellness Kansas City, LLC

  • Rehabilitation Clinic/Center
  • Liberty, MO
  • NPI 1174299044
  NPD
• Med CHI Professionals, LLC

  • Physical Medicine & Rehabilitation Physician
  • Harrison, AR
  • NPI 1629390414
  NPD (past)
• Mountaincrest Rehab of Bella Vista, Inc.

  • Physical Therapist
  • Bella Vista, AR
  • NPI 1932165982
  NPD (past)
• Orthospine Rehabilitation

  • Multi-Specialty Clinic/Center
  • Harrison, AR
  • NPI 1073792081
  NPD (past)
• Spine and Sports Rehabilitation

  • Physical Therapist
  • Harrison, AR
  • NPI 1104190347
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1962539858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 N CRESTHAVEN AVE",
            "address_2": "APT C101",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658037826",
            "telephone_number": "870-416-6834",
            "fax_number": "610-347-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013535",
            "telephone_number": "870-743-5573",
            "fax_number": "870-743-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISSMAN",
        "first_name": "MAVILYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAVILYN",
            "last_name": "GENCIANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Counseling & Family Therapy Center, LLC
• Countryside at Rock Springs LLC
• Teresa R Courter, LCSW
• Jessica Anne Cox, PHARMD
• Tiffany Crawford, MHPP
• Shae Vilyn Crook, MHPP
• Crossroads Medical Clinic of Harrison
• Kimberly Martin Cudworth, APRN
• Madison Culpepper, MHPP
• Misty Curry

• Physical Therapist in Harrison, AR
• Providers in Harrison, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.