Crystal Tyson
OT | Occupational Therapist | 11+ years Exp
4121 Veterans Memorial Dr, Mount Vernon
Illinois, 62864-6262
618-242-3778 618-242-2551
Maps & DirectionsCrystal Tyson is a Mount Vernon, Illinois based therapist with 11 years of experience in Occupational Therapy. She completed her graduation in 2015. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Crystal Tyson is 056011193 for Occupational Therapy in Illinois. Her current practice location is 4121 Veterans Memorial Dr, Mount Vernon. Patients can reach her at 618-242-3778 or can fax her at 618-242-2551. Crystal Tyson is OT in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1629447529.
Crystal Tyson provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Crystal Tyson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Crystal Tyson |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Credentials: | OT |
| Experience: | 11+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2015 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 4121 Veterans Memorial Dr, Mount Vernon, Illinois, 62864-6262 |
| Phone: | 618-242-3778 |
| Fax: | 618-242-2551 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7911215058 |
| Enrollment ID: | I20151009000034 |
| NPI Number: | 1629447529 |
| NPI Enumeration Date: | 21 Sep, 2015 |
| NPI Last Update On: | 21 Sep, 2015 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Crystal Tyson are as mentioned below.
| License Number | Specialization | State | Status | |
| 056011193 | Occupational Therapy | Illinois | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Crystal Tyson is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Comprehensive Therapeutics Ltd (8921230137) | 224 |
| Herron Rehab And Wellness Center, S.c. (3274671870) | 4 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Crystal Tyson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 056011193 | Other | Illinois | STATE LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Crystal Tyson 4121 Veterans Memorial Dr, Mount Vernon, Illinois |
| Zip: | 62864-6262 |
| Phone Number: | 618-242-3778 |
| Fax Number: | 618-242-2551 |
Patients can reach Crystal Tyson at
4121 Veterans Memorial Dr, Mount Vernon, Illinois or can
call to book an appointment on 618-242-3778.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.