Krystal Smith Nestlehutt, MPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT009036 Issued in GA

Practice address

1755 Highway 34 E Ste 1300
Newnan, GA 30265-3186

Phone

(770) 254-7850

Fax

(770) 254-1394

NPI assigned

Mar 12, 2008

Last updated

Nov 21, 2017By 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 2

Addresses

Other names 1

• Krystal Dawn Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southwest Georgia Rehab, Inc

  • Physical Therapist
  • Cordele, GA
  • NPI 1902120587
  NPD
• Tallahassee Orthopedic & Sports Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Apalachicola, FL
  • NPI 1558098038

  Physical Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1205007705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 HIGHWAY 34 E STE 1300",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302653186",
            "telephone_number": "770-254-7850",
            "fax_number": "770-254-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 HIGHWAY 34 E STE 1300",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302653186",
            "telephone_number": "770-254-7850",
            "fax_number": "770-254-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTLEHUTT",
        "first_name": "KRYSTAL",
        "middle_name": "SMITH",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009035",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT009036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "SMITH",
            "middle_name": "DAWN",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barry Sheldon Nelms, CAA
• Brenda L Nelson-Porter, ND
• Derrick Nelson
• Reneisha Nelson
• Nephrology Inc (Kidney Clinic)
• Candice Norkee Nettles, BSN,RN,IBCLC
• Nathan J Neufeld, D.O.
• Newnan Anesthesia Associates, LLC
• Newnan Center for Foot and Ankle Surgery, LLC
• Newnan Endoscopy Center LLC

• Orthopedic Physical Therapist in Newnan, GA
• Providers in Newnan, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.