Active NPI
Kristina Moore
- Physical Therapist
- Bartlett, TN
National Provider Identifier
1225419955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8859
- Practice address
- 3135 Kirby Whitten Rd
Suite 105
Bartlett, TN 38134-2860 - Phone
- (901) 213-2900
- Fax
- (901) 213-0004
- NPI assigned
- Jun 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8859 | TN | Primary |
Addresses
Primary practice location
3135 Kirby Whitten Rd
Suite 105
Bartlett, TN 38134-2860
Mailing address
800 Crescent Centre Dr
Suite 600
Franklin, TN 37067-7269
Phone (615) 656-0379
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1225419955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CRESCENT CENTRE DR",
"address_2": "SUITE 600",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370677269",
"telephone_number": "615-656-0379",
"fax_number": "615-221-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3135 KIRBY WHITTEN RD",
"address_2": "SUITE 105",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381342860",
"telephone_number": "901-213-2900",
"fax_number": "901-213-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "KRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-18",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "8859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.