CRYSTAL LAIDLEY (PT) – Physical Therapist, NPI 1134720048

CRYSTAL LAIDLEY (PT) is a healthcare provider. based in Rome, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT36568 (FL). The NPI Number for CRYSTAL LAIDLEY (PT) is 1134720048

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTAL LAIDLEY (PT)
NPI
1134720048
Phone
(407) 322-3442
Address
336 BROAD ST STE 203
Enumeration Date
6 November 2020
Last Update Date
10 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8455457778
Graduation Year
2020 (6 years ago)
PAC ID
6002305091
Group Practice PAC ID
1153727169
Professional Enrollment ID
I20251029004975
Address ID
FL34787XXXXWIXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for CRYSTAL LAIDLEY (PT)

  • 336 BROAD ST STE 203

    ROME, GA 301613006

    Phone: (407) 322-3442

    Fax: (407) 322-8404

    Type: Mailing

  • 1200 LEXINGTON GREEN LN

    SANFORD, FL 327711013

    Phone: (407) 322-3442

    Fax: (407) 322-8404

    Type: Location

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: 2025-10-29

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
I20251029004975IPhysical 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 30161)

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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: 1153727169View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Does CRYSTAL LAIDLEY (PT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CRYSTAL LAIDLEY (PT) uses 1134720048.
Can I rely on CRYSTAL LAIDLEY (PT) being an active provider?
As of the registry snapshot, CRYSTAL LAIDLEY (PT) is marked active.
What is CRYSTAL LAIDLEY (PT) best known for clinically?
Directory data describes CRYSTAL LAIDLEY (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for CRYSTAL LAIDLEY (PT)?
CRYSTAL LAIDLEY (PT)'s geographic hint is Rome, Georgia in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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