Active NPI
Kristina Ann Ediger, RPT
- Pediatric Physical Therapist
- Enid, OK
National Provider Identifier
1306895503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 639
- Practice address
- 2501 Mercer Dr
Enid, OK 73701-8602 - Phone
- (580) 233-0666
- Fax
- (580) 249-5999
- NPI assigned
- May 8, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 639 | OK | Primary |
Addresses
Primary practice location
2501 Mercer Dr
Enid, OK 73701-8602
Mailing address
602 Deer Run
Enid, OK 73703-3426
Phone (580) 237-5711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 639 | Other | OK | PT LICENSE NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 639 | OK | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1306895503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 DEER RUN",
"city": "ENID",
"state": "OK",
"postal_code": "737033426",
"telephone_number": "580-237-5711",
"fax_number": "580-249-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 MERCER DR",
"city": "ENID",
"state": "OK",
"postal_code": "737018602",
"telephone_number": "580-233-0666",
"fax_number": "580-249-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDIGER",
"first_name": "KRISTINA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "OK",
"license": "639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE NUMBER",
"identifier": "639",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.