Krystyna S. Bell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA004173 Issued in GA

Practice address

1810 Cumming Hwy
Canton, GA 30115-2986

Phone

(678) 885-9965

NPI assigned

May 24, 2007

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 identifiers 1

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1265643118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 SANTA ANITA DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301897185",
            "telephone_number": "248-990-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 CUMMING HWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301152986",
            "telephone_number": "678-885-9965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27450 Schoenherr Rd",
            "address_2": "100",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480886683",
            "country_code": "US",
            "telephone_number": "586-582-7825",
            "fax_number": "586-582-7826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL",
        "first_name": "KRYSTYNA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "06001842A",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5171931",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorna Beech Tomlinson
• Allen Randle Beecham, DO
• Emily Beecher, PHARMD
• Susan E Belangee, PH.D., LPC, NCC, ACS
• Thomas Belknap, MD
• Alexandra Rachel Bennett
• Marenda Kate Benson, M. ED CCC-SLP
• Alexandra Rose Berger, DOULA
• Robert B Berkowitz, MD
• Natalia Berman, NP

• Physical Therapy Assistant in Canton, GA
• Providers in Canton, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.