Crystal Rena Whisner, DPT

Key facts

NPI

1992185276

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

4959 (OK)

Practice address

4008 S Yale Ave
Tulsa, OK 74135-6017

Phone

(918) 622-4278

Fax

(918) 622-4844

NPI assigned

Jun 2, 2015

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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

• Redbud Physical Therapy LLC Physical Therapy Clinic/Center · Tulsa, OK · NPI 1710437306
  Medicare reassignment Care Compare group NPD OK · PHYSICAL THERAPIST
• Redbud Physical Therapy LLC Durable Medical Equipment & Medical Supplies · Skiatook, OK · NPI 1730831868
  NPD

Medicare Care Compare profile

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redbud Physical Therapy LLC (32 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OK

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 2, 2015.

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1992185276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 E 33RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352038",
            "telephone_number": "918-622-4126",
            "fax_number": "918-270-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356017",
            "telephone_number": "918-622-4278",
            "fax_number": "918-622-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHISNER",
        "first_name": "CRYSTAL",
        "middle_name": "RENA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kayleigh Diane Whisenhunt
• Kyzia Marie Whisenhunt
• Frances Whisman, R.N.
• Dakota T Whistance
• Jeseny Whitacre
• Forest D Whitaker
• John Tyler Whitaker, DO
• Katherine Elizabeth Whitaker

All providers in Tulsa, OK · Physical Therapist in Oklahoma