DR. CRYSTAL MCKENZIE (DPT) – Physical Therapist, NPI 1174050587

DR. CRYSTAL MCKENZIE (DPT) is a healthcare provider. based in Tampa, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT29195 (FL). The NPI Number for DR. CRYSTAL MCKENZIE (DPT) is 1174050587

Main info

Female
13 Years Of Experience
Name
DR. CRYSTAL MCKENZIE (DPT)
NPI
1174050587
Phone
Not provided
Address
12625 RACE TRACK RD
Enumeration Date
16 May 2017
Last Update Date
16 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2396762080
Graduation Year
2013 (13 years ago)
PAC ID
4880967116
Group Practice PAC ID
5395078968
Professional Enrollment ID
I20170907001473
Address ID
FL342923098VE3000XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for DR. CRYSTAL MCKENZIE (DPT)

  • 12625 RACE TRACK RD

    TAMPA, FL 336261331

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170907001473IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33626)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395078968View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeMI
-FL
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL

Reviews

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Frequently asked questions

How is DR. CRYSTAL MCKENZIE (DPT) identified in CMS data?
CMS-hosted NPPES data lists DR. CRYSTAL MCKENZIE (DPT) with NPI 1174050587.
Does CMS list DR. CRYSTAL MCKENZIE (DPT) as active?
Yes — DR. CRYSTAL MCKENZIE (DPT) is active in the NPI listing used on this page.
What is DR. CRYSTAL MCKENZIE (DPT)'s specialty?
The listing groups DR. CRYSTAL MCKENZIE (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is DR. CRYSTAL MCKENZIE (DPT) based?
DR. CRYSTAL MCKENZIE (DPT) is tied to Tampa, Florida in the data we show; additional addresses may exist on the full record.
Is the information about DR. CRYSTAL MCKENZIE (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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