Active NPI
Kristen Nicole Kiser, PTA
- Physical Therapy Assistant
- Athens, GA
National Provider Identifier
1073673315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA001956
- Practice address
- 1500 Oglethorpe Ave
BLDG 500
Athens, GA 30606-2179 - Phone
- (706) 549-9244
- Fax
- (706) 549-6102
- NPI assigned
- Dec 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA001956 | GA | Primary |
Addresses
Primary practice location
1500 Oglethorpe Ave
BLDG 500
Athens, GA 30606-2179
Mailing address
PO Box 6890
Evansville, IN 47719-0890
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA001956 | GA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressivehealth Rehabilitation Solutions, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Jackson, MS
- NPI 1114532348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073673315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6890",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477190890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 OGLETHORPE AVE",
"address_2": "BLDG 500",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062179",
"telephone_number": "706-549-9244",
"fax_number": "706-549-6102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISER",
"first_name": "KRISTEN",
"middle_name": "NICOLE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA001956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- 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.