Active NPI
Katelyn A Crist
- Physical Therapist
- Lexington, KY
National Provider Identifier
1164934667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007156
- Practice address
- 993 Mason Headley Rd
Lexington, KY 40504-2246 - Phone
- (859) 554-8185
- NPI assigned
- Oct 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 13381 | AZ | |
| Physical Therapist | 225100000X | 007156 | KY | Primary |
Addresses
Primary practice location
993 Mason Headley Rd
Lexington, KY 40504-2246
Mailing address
4115 E Moreland St Apt 1
Phoenix, AZ 85008-5565
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007156 | KY | MD | Physical Therapist |
| 13381 | AZ | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1164934667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 E MORELAND ST APT 1",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850085565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "993 MASON HEADLEY RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042246",
"telephone_number": "859-554-8185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIST",
"first_name": "KATELYN",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-25",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "AZ",
"license": "13381",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "007156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.