Kristin Teel, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1402436 Issued in KS

Practice address

3515 Broadway Ave
Great Bend, KS 67530-3633

Phone

(620) 786-6111

NPI assigned

Nov 15, 2012

Last updated

Nov 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1194069096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 22ND ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675307421",
            "telephone_number": "308-379-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303633",
            "telephone_number": "620-786-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEL",
        "first_name": "KRISTIN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "1402436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Suppes
• Michelle Dawn Suppes
• Robert M Symes, CRNA
• Kris Tarlton, CRNA
• Kim Hunter Taylor, MS LMLP LCP
• The Center for Counseling
• The Center for Counseling
• The Center for Counseling and Consultation
• The Clara Barton Hospital Association Inc Hoisington Kansas (Clara Barton Surgical Services-GB)
• The Clara Barton Hospital Association, Inc. Hoisington Kansas (Clara Barton Medical Clinic - GB)

• Physical Therapy Assistant in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.