Kristi Wilkinson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3720 Issued in CO

Practice address

450 Prospector Ave
Durango, CO 81301-7940

Phone

(858) 472-8190

NPI assigned

Jan 22, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pine River Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Bayfield, CO
  • NPI 1174910145
  NPD

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1053700484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PROSPECTOR AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017940",
            "telephone_number": "858-472-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PROSPECTOR AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017940",
            "telephone_number": "858-472-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "KRISTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25846",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "3720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca L.K. Wildbear, LPC
• Maeve Erin Wilder
• Blair Wiles, M.A.
• Philip David Wiley, MD
• Jacob Wilkerson, M.D.
• Michael Wilkinson, LPC
• Ilse Willenbuecher, LPC
• Colleen O'Connell Williams, CNM
• Eve Nicole Williams, LCSW, LAC
• Jeffrey S Williams, D.O.

• Physical Therapist in Durango, CO
• Providers in Durango, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.