Individual provider Active NPI

Kristin Munsey, MPT

  • Pediatric Physical Therapist
  • Redlands, CA
National Provider Identifier
1063513315
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
19893 Issued in CA
Practice address
10431 Commerce St Ste a
Redlands, CA 92374-0110
Phone
(909) 783-1111
Fax
(909) 783-3957
NPI assigned
Sep 26, 2006
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 19893 CA Primary

Addresses

Primary practice location

10431 Commerce St Ste a
Redlands, CA 92374-0110

Mailing address

10431 Commerce St Ste a
Redlands, CA 92374-0110
Phone (909) 783-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19893CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Pediatrics CurrentSince Oct 8, 2023 Accepting new patients

Locations

10431 Commerce St
Ste A
Redlands, CA 92374
Phone (909) 735-7654

757 W Redlands Blvd
Redlands, CA 92373
Phone (909) 783-1111

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1063513315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 COMMERCE ST STE A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923740110",
            "telephone_number": "909-783-1111",
            "fax_number": "909-783-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10431 COMMERCE ST STE A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923740110",
            "telephone_number": "909-783-1111",
            "fax_number": "909-783-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSEY",
        "first_name": "KRISTIN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "19893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.