Kristin Metz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA48691 Issued in CA

Practice address

78078 Country Club Dr
Bermuda Dunes, CA 92203-8173

Phone

(760) 345-9934

NPI assigned

Jul 13, 2017

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Star Orthopaedics, Inc.

  • Orthopaedic Surgery Physician
  • La Quinta, CA
  • NPI 1831364975
  NPD (past)

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499904000000",
    "number": "1306368006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78078 COUNTRY CLUB DR",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922038173",
            "telephone_number": "760-345-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78078 COUNTRY CLUB DR",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922038173",
            "telephone_number": "760-345-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZ",
        "first_name": "KRISTIN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA48691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mattie Evans Alderman Foundation for Preventive Medicine, Inc.
• Mattie Evans Alderman Foundation, Inc.
• James R Mawhiney, DPT
• Bridgid McQuown, EDD
• Medical Wellness Group, Inc.
• Noelle Diane Millsap Harriman
• Nicole Mitchell, PTA
• Richard Winfield Moore III, PHARMD
• Andrea Morales, DPT
• Motion Medical

• Physical Therapy Assistant in Bermuda Dunes, CA
• Providers in Bermuda Dunes, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.