Krystal Lafferty, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06004091A Issued in IN

Practice address

6047 S Main Street Rd
Vincennes, IN 47591-9178

Phone

(812) 890-9135

NPI assigned

Jun 30, 2020

Sex

Female

Sole proprietor

Yes

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": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1104443738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6047 S MAIN STREET RD",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475919178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6047 S MAIN STREET RD",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475919178",
            "telephone_number": "812-890-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFFERTY",
        "first_name": "KRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06004091A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A Kotter, RN, BSN
• Kristy A Kruger, OT
• Brooklyn Taylor Kuhn, RD
• Azeez Olajide Kuteyi, MD
• Dorothy U Kuykendall, LCSW
• Peter Pingkwong Lai, M.D.
• Tessa Laino
• Charles Stephen Lamberton
• Jessica Lane
• Robert Randall Lang, PA-C

• Physical Therapy Assistant in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.