Krystal D Disney, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE006568 Issued in PA

Practice address

1798 Old Route 220 N
Suite 103
Duncansville, PA 16635-8341

Phone

(814) 696-3400

Fax

(814) 696-3402

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Krystal D Barnett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003987504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 467",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166739801",
            "telephone_number": "814-793-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 OLD ROUTE 220 N",
            "address_2": "SUITE 103",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166358341",
            "telephone_number": "814-696-3400",
            "fax_number": "814-696-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISNEY",
        "first_name": "KRYSTAL",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE006568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "BARNETT",
            "middle_name": "D",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Marie Dibert, PTA
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• Ronald C Dick, R.PH.
• Matthew Thomas Dillon, LPC
• Discovery House BC LLC
• Vicki Jean Donaldson, BSN, RN
• Drayer Physical Therapy Institute LLC
• Gregory Drew, RPH
• McKenna Elyse Dugan
• Duncansville Emergency Medical SVC

• Physical Therapy Assistant in Duncansville, PA
• Providers in Duncansville, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.