Individual provider Active NPI

Kristi L. Harris, P.T.

  • Physical Therapist
  • Pocahontas, AR
National Provider Identifier
1336104850
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 2338 Issued in AR
Practice address
567 Hwy 67 S
Suite B
Pocahontas, AR 72455
Phone
(870) 248-1119
Fax
(870) 277-0896
NPI assigned
Apr 18, 2006
Last updated
Jan 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 2338 AR Primary

Addresses

Primary practice location

567 Hwy 67 S
Suite B
Pocahontas, AR 72455

Mailing address

567 Hwy 67 S
Suite B
Pocahontas, AR 72455
Phone (870) 248-1119

Other identifiers 2

IdentifierTypeStateIssuer
5W384OtherARBLUE CROSS BLUE SHIELD
140874721MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060615000250 AR Practitioner - Physical Therapist in Private Practice 0345258356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gross Therapy Services IncGroup PAC ID 5991072050, 45 clinicians

Practice addresses (Care Compare)

1006 W Main St
Walnut Ridge, AR 72476-1004
Phone (870) 759-5055

117 Riverlodge Dr
Mountain Home, AR 72653-2630
Phone (870) 404-5299

201 N College St
Mountain Home, AR 72653-3653
Phone (870) 232-5999

2520 Thomasville Rd
Pocahontas, AR 72455-1203
Phone (870) 248-1119

3501 Stonegate Dr
Suite a
Paragould, AR 72450-7397
Phone (870) 701-5089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gross Therapy Services, Inc. Physical Therapist CurrentSince Feb 5, 2018 Accepting new patients
Five Rivers Therapy Services Limited Partnership Physical Therapist PastSince Mar 13, 2006 Accepting new patients

Locations

3501 Stonegate Dr
Ste A
Paragould, AR 72450

567 Highway 67 S
Ste B
Pocahontas, AR 72455
Phone (870) 248-1119

1006 W Main St
Walnut Ridge, AR 72476
Phone (870) 539-9989

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1336104850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 HWY 67 S",
            "address_2": "SUITE B",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "72455",
            "telephone_number": "870-248-1119",
            "fax_number": "870-277-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 HWY 67 S",
            "address_2": "SUITE B",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "72455",
            "telephone_number": "870-248-1119",
            "fax_number": "870-277-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KRISTI",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 2338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5W384",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140874721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.