Individual provider Active NPI

Kristen Paige Gary, PT, DPT, MPH

  • Physical Therapist
  • Richardson, TX
National Provider Identifier
1114481033
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2201 N Central Expy Ste 110
Richardson, TX 75080-2718
Phone
(214) 265-1819
Fax
(214) 373-9530
NPI assigned
Jan 24, 2019
Last updated
Jan 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2201 N Central Expy Ste 110
Richardson, TX 75080-2718

Mailing address

2201 N Central Expy Ste 110
Richardson, TX 75080-2718
Phone (214) 265-1819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230821004154 TX Practitioner - Physical Therapist in Private Practice 6406218536 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Align Physical Therapy LLC Physical Therapist CurrentSince Jun 10, 2023 Accepting new patients
Lissa D. Mills, Inc Past Accepting new patients

Locations

1610 Lavista Rd NE
Ste 9
Atlanta, GA 30329
Phone (678) 671-6114

Organizations & group practices 2

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": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1114481033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N CENTRAL EXPY STE 110",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802718",
            "telephone_number": "214-265-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N CENTRAL EXPY STE 110",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802718",
            "telephone_number": "214-265-1819",
            "fax_number": "214-373-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARY",
        "first_name": "KRISTEN",
        "middle_name": "PAIGE",
        "credential": "PT, DPT, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.