Kristy Dawn Cloern, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A01634 Issued in KY

Practice address

360 Huckleberry Rd
Dawson Springs, KY 42408-8939

Phone

(270) 841-7536

NPI assigned

Jun 19, 2007

Last updated

Jul 30, 2024By the provider in NPPES

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

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1033314067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 HUCKLEBERRY RD",
            "city": "DAWSON SPRINGS",
            "state": "KY",
            "postal_code": "424088939",
            "telephone_number": "270-841-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 HUCKLEBERRY RD",
            "city": "DAWSON SPRINGS",
            "state": "KY",
            "postal_code": "424088939",
            "telephone_number": "270-841-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOERN",
        "first_name": "KRISTY",
        "middle_name": "DAWN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A01634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baptist Health Madisonville Inc (Baptist Health Medical Associates)
• Baptist Health Medical Group Inc (Dawson Springs Rural Health Clinic)
• James Eric Britt, D.C.
• Shannon Nicole Cavanaugh, COTA/L
• Lacy Chitwood, RN
• Common Ground Mental Health LLC
• Commonwealth of Kentucky (Outwood ICF)
• Commonwealth of Kentucky (Outwood Specialty Clinic)
• Telisa Rena Cotton
• Maryssa Jean Coyle, APRN

• Physical Therapy Assistant in Dawson Springs, KY
• Providers in Dawson Springs, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.