Healthcare Provider Details

I. General information

NPI: 1124038039
Provider Name (Legal Business Name): CRYSTAL THOMAS-MCGEE DPT, CSCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 RATHLIN LN
BEAR DE
19701-1987
US

IV. Provider business mailing address

PO BOX 349
BEAR DE
19701-0349
US

V. Phone/Fax

Practice location:
  • Phone: 646-477-9493
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number027131-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02184800
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT030936
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ1-0014584
License Number StateDE
# 5
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14.011239
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: